Individual
MS. JILL MAKELA CIACCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
555 E MARKET ST, ELMIRA, NY 14901-3223
(607) 733-6541
(607) 737-1532
Mailing address
555 E MARKET ST, ELMIRA, NY 14901-3223
(607) 733-6541
(607) 737-1532
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000204-1
NY
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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