Doctor Name: | JILL A FREEDLINE |
NPI Number: | 1124357017 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICAL THERAPIST |
License Number: | PT19105 |
Business Practice Address: | 2792 Donnelly Dr Lantana, FL - 334626431 |
Business Phone Number: | 5619664600 |
Business Fax Number: | |
Mailing Address: | 800 Crestwood Ct S, 812 ROYAL PALM BEACH |
State: | FL |
Postal Code: | 334114904 |
Phone Number: | 5614227041 |
Fax Number: | |
NPI Enumeration Date: | 12/23/2009 |
NPI Last Update Date: | 12/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | PT19105 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |