Individual provider · Type 1 NPI
Jacquilyn Boling Kondo, PT
Orthotic Fitter · Elmhurst, NY
NPI number
1447168513
Active
Practice location
8332 Cornish Avenue, Floor 1
Elmhurst, NY 11373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthotic Fitter Primary | 225000000X | 052315-01 (NY) |
Orthotic Fitter: An individual trained in the management of fitting prefabricated orthoses.
Other orthotic fitter providers in Elmhurst
About NPI 1447168513
Jacquilyn Boling Kondo, PT's National Provider Identifier is 1447168513, issued on Aug 31, 2026. The primary taxonomy on file is Orthotic Fitter (225000000X), and the practice location is in Elmhurst, NY. The record was last updated on Aug 31, 2026.