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Jerilyn Fortsch, PT
Specialist in East Northport, New York
NPI 1336451483

Jerilyn Fortsch is a Specialist based in East Northport, NY. Jerilyn Fortsch practices in East Northport, NY and has the professional credentials of PT. The NPI Number for Jerilyn Fortsch is 1336451483 and holds a License No. 012147-01 (New York).

The current practice location address for Jerilyn Fortsch is 105 Catherine St, East Northport, NY and can be reached out via phone at 631-681-1101.

Location: 105 Catherine St, East Northport, NY, 11731-1001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336451483
Provider Name
Jerilyn Fortsch
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
105 Catherine St, East Northport, NY, 11731-1001
Phone Number
631-681-1101
Fax Number
Provider Enumeration Date
07/06/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
105 Catherine St
City
East Northport
State
New York
Zip
11731-1001
Phone Number
631-681-1101
Fax Number
person
Provider Business Mailing Address Details
Address
105 Catherine St
City
East Northport
State
New York
Zip
11731-1001
Phone Number
631-681-1101
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
012147-01 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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