Doctor Name: | BETSY JOLLY |
NPI Number: | 1447488481 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 019862 |
Business Practice Address: | 1485 International Pkwy 2051 Heathrow, FL - 327465303 |
Business Phone Number: | 8007986035 |
Business Fax Number: | |
Mailing Address: | 8542 W Betty Ter, NILES |
State: | IL |
Postal Code: | 607141833 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/29/2009 |
NPI Last Update Date: | 06/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 019862 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |