Individual provider · Type 1 NPI

Jill Elizabeth Fennelly, PT

Geriatric Physical Therapist · Philadelphia, PA

NPI number 1184749608 Active

Practice location

1104 Welsh Rd
Philadelphia, PA 19115-3730

Mailing address

583 Green Ln
Philadelphia, PA 19128-2620

Specialties and licenses

TaxonomyCodeLicense
Geriatric Physical Therapist Primary 2251G0304XPT015306 (PA)

Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…

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About NPI 1184749608

Jill Elizabeth Fennelly, PT's National Provider Identifier is 1184749608, issued on Mar 21, 2007. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2007.