Individual
MRS. JENNIFER LEE ELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, CHT
Contact information
Practice address
750 PRIDES XING, NEWARK, DE 19713-6104
(302) 864-2222
(302) 907-4028
Mailing address
1602 NEWPORT GAP PIKE, WILMINGTON, DE 19808-6208
(302) 633-5840
(302) 633-5844
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1001064
DE
225100000X
Physical Therapist
PT014287L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J10001084
DE LICENSE
DE
Enumeration date
06/22/2006
Last updated
07/14/2020
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