Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jillian E Vine, CTRS

Individual provider Recreation Therapist · NPI 1386354363

Jillian E Vine, CTRS is a Recreation Therapist in Bath, New York. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

76 Veterans Ave Bldg 92
Bath, NY 14810-0810
Phone: (607) 664-4694
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X

Record details

NPI number1386354363
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorNo
NPI enumeratedNovember 30, 2022
Last updated in NPPESNovember 30, 2022
Certification dateNovember 29, 2022
Mailing address160 Upper Delevan Ave, Corning, NY 14830-3267

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