Individual
MS. JILL CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6126 164TH ST APT 3, FRESH MEADOWS, NY 11365-1844
(917) 804-6908
Mailing address
6126 164TH ST APT 3, FRESH MEADOWS, NY 11365-1844
(917) 804-6908
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000721-1
NY
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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