Individual
JESSA BENEDICT MORCILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6995 QUEENS MIDTOWN EXPY, MASPETH, NY 11378-1922
(718) 429-2200
Mailing address
3208 83RD ST, EAST ELMHURST, NY 11370-2008
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009872
NY
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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