Doctor Name: | JESSICA CONNELLY |
NPI Number: | 1043635808 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 037441 |
Business Practice Address: | 171 Madison Ave Suite 1600 New York, NY - 100165110 |
Business Phone Number: | 8773763978 |
Business Fax Number: | |
Mailing Address: | 171 Madison Ave, Suite 1600 NEW YORK |
State: | NY |
Postal Code: | 100165110 |
Phone Number: | 8773763978 |
Fax Number: | |
NPI Enumeration Date: | 03/03/2014 |
NPI Last Update Date: | 06/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 037441 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |