Jill Elizabeth Fennelly in Philadelphia - Geriatrics

Jill Elizabeth Fennelly - NPI 1184749608

Jill Elizabeth Fennelly is a Geriatrics in Philadelphia, Pennsylvania. Jill Elizabeth Fennelly practices all healthcare services and medical treatments related to Geriatrics. The NPI Number for Jill Elizabeth Fennelly is 1184749608. The last update date is 2007-07-08.

Jill Elizabeth Fennelly's current location address is 583 Green Ln, Philadelphia, Pennsylvania. You can contact this provider via phone number 6108889684. The mailing address for Jill Elizabeth Fennelly is 583 Green Ln, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Jill Elizabeth Fennelly
Address 583 Green Ln, Philadelphia, Pennsylvania
Phone Number 6108889684
Fax Number
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1184749608
Provider Enumeration Date 2007-03-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 583 Green Ln
City Philadelphia
State Pennsylvania (PA)
Post Code 191282620
Phone Number 6108889684
Fax Number

Provider's Primary Taxonomy Detail

Speciality Geriatrics
Taxonomy 2251G0304X
Licence No PT015306
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evid

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FAQs about Jill Elizabeth Fennelly

What is the unique 10-digit identifier code assigned to Jill Elizabeth Fennelly by the Centers for Medicare & Medicaid Services?

The Jill Elizabeth Fennelly has been issued the NPI (National Provider Identifier) 1184749608 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Jill Elizabeth Fennelly?

The Jill Elizabeth Fennelly is physically situated at 583 Green Ln, in the city of Philadelphia, state of PA, with the postal code 191282620.

What is Jill Elizabeth Fennelly's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jill Elizabeth Fennelly is Geriatrics, and the corresponding taxonomy classification code for this specialized field is 2251G0304X.

On what date was the 1184749608 assigned to Jill Elizabeth Fennelly?

The Jill Elizabeth Fennelly was issued its 1184749608 on 2007-03-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Jill Elizabeth Fennelly last refreshed?

The information related to the Jill Elizabeth Fennelly, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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