Individual provider · Type 1 NPI
Jingle Candelasa
Pediatric Physical Therapist · Staten Island, NY
Practice location
800 Victory Blvd. Apt 5L
Staten Island, NY 10301
Mailing address
800 Victory Blvd Apt 5L
Staten Island, NY 10301-3710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 031426-1 (NY) |
| Pediatric Physical Therapist Primary | 2251P0200X | 031426-1 (NY) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1053738542
Jingle Candelasa's National Provider Identifier is 1053738542, issued on Mar 24, 2014. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Staten Island, NY. The record was last updated on Mar 24, 2014.