IndividualActive
Jill Fennelly, PT
NPI 1184749608 · Geriatric Physical Therapist · Philadelphia, PA
Provider details
- NPI number
- 1184749608
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- PT015306 (PA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1104 Welsh Rd
Philadelphia, PA 19115-3730
Phone: (215) 676-9191
Approximate (ZIP-level) locationGet directions
Mailing address
583 Green Ln
Philadelphia, PA 19128-2620
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.