Individual
JESSICA STANKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 FRANKLIN AVE STE LL2, GARDEN CITY, NY 11530-1760
(516) 663-9099
Mailing address
37 CLEVELAND ST, BABYLON, NY 11702-1837
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
031567-1
NY
2251X0800X
Orthopedic Physical Therapist
Primary
031567-1
NY
Other
Enumeration date
07/13/2010
Last updated
08/09/2021
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