Provider Demographics
NPI:1124357017
Name:FREEDLINE, JILL A (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:A
Last Name:FREEDLINE
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 CRESTWOOD CT S
Mailing Address - Street 2:812
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-4904
Mailing Address - Country:US
Mailing Address - Phone:561-422-7041
Mailing Address - Fax:
Practice Address - Street 1:2792 DONNELLY DR
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:FL
Practice Address - Zip Code:33462-6431
Practice Address - Country:US
Practice Address - Phone:561-966-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-23
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT191052251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics