Individual
MS. JILL E BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPTA
Contact information
Practice address
4 MARYLAND AVE, GLEN COVE, NY 11542-2420
(516) 200-5511
Mailing address
4 MARYLAND AVE, GLEN COVE, NY 11542-2420
(516) 200-5511
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000756
NY
Other
Enumeration date
07/05/2007
Last updated
02/05/2016
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