Organization
JELAINE PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET ELAINE MARIN PT (OWNER, PRESIDENT)
(631) 765-9230
Entity
Organization
Contact information
Practice address
1635 SHIPS DR, SOUTHOLD, NY 11971-3929
(631) 765-9230
Mailing address
1635 SHIPS DR, SOUTHOLD, NY 11971-3929
(631) 765-9230
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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