Provider Demographics
NPI:1851592414
Name:GALPER, JILL S (PT)
Entity Type:Individual
Prefix:MS
First Name:JILL
Middle Name:S
Last Name:GALPER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 557
Mailing Address - Street 2:2 BALA PLAZA, SUITE 600
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-0557
Mailing Address - Country:US
Mailing Address - Phone:610-667-4763
Mailing Address - Fax:610-667-4764
Practice Address - Street 1:333 E CITY AVE
Practice Address - Street 2:2 BALA PLAZA, SUITE 600
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1501
Practice Address - Country:US
Practice Address - Phone:610-667-4763
Practice Address - Fax:610-667-4764
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-003106-L225100000X
DEJ1-0000473225100000X
NJ40QA00360700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA051065OtherBLUE SHIELD