Provider Demographics
NPI:1306879770
Name:GLINKA, JILL J (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:JILL
Middle Name:J
Last Name:GLINKA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5316 SW LINCOLNSHIRE CIR
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66610-9662
Mailing Address - Country:US
Mailing Address - Phone:785-862-9222
Mailing Address - Fax:785-862-8807
Practice Address - Street 1:5316 SW LINCOLNSHIRE CIR
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66610-9662
Practice Address - Country:US
Practice Address - Phone:785-862-9222
Practice Address - Fax:785-862-8807
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-00109225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
013420OtherBLUE CROSS BLUE SHIELD