Jessica S Benardello, PT, DPT

NPI #1003242009 in Astoria, New York

Provider Information

NPI Number: 1003242009
Entity Type: Individual
Name: Jessica S Benardello, PT, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Sep 23, 2013
Last Updated: Sep 23, 2013

Practice Location

Address: 3711 35TH AVE
Address 2: SUITE 3C & 3G
City: Astoria
State: New York
ZIP Code: 11101-1524
Phone: (718) 706-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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