Individual
CATHERINE ANN JELLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1698 W HIBISCUS BLVD, SUITE A, MELBOURNE, FL 32901-2639
(321) 768-6119
(321) 768-1710
Mailing address
1698 W HIBISCUS BLVD, SUITE A, MELBOURNE, FL 32901-2639
(321) 768-6119
(321) 768-1710
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19751
FL
Other
Enumeration date
02/27/2009
Last updated
02/27/2009
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