Most Relevant Information
Provider Data
| NPI Number: | 1003637935 |
| Provider Name: | JELICA JOY BERNARDO LLANILLO |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 014337 |
Most Important Dates
| Enumeration Date: | 10/23/2024 |
| Last Updated: | 10/23/2024 |
Provider Practice Location
107-02R JAMAICA AVE
RICHMOND HILL
NY
11418
Practice Location Phone/Fax
| Phone: | 3478293890 |
| Fax: | 3478293888 |
Provider Mailing Location
107-02R JAMAICA AVE
RICHMOND HILL
NY
11418
Provider Mailing Phone/Fax
| Phone: | 3478293890 |
| Fax: | 3478293888 |