Individual
JELANI CHRISTINE ELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13617 38TH AVE, FLUSHING, NY 11354-6500
(718) 225-2309
Mailing address
1549 DEAN ST, BROOKLYN, NY 11213-2183
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
011691-1
NY
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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