Provider Demographics
NPI:1922404078
Name:JEAN-FILS, MARGARETH (PTA)
Entity Type:Individual
Prefix:
First Name:MARGARETH
Middle Name:
Last Name:JEAN-FILS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:JEAN-FILS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:84 SAGEBRUSH LN
Mailing Address - Street 2:
Mailing Address - City:ISLANDIA
Mailing Address - State:NY
Mailing Address - Zip Code:11749-1701
Mailing Address - Country:US
Mailing Address - Phone:631-948-3055
Mailing Address - Fax:631-582-3006
Practice Address - Street 1:84 SAGEBRUSH LN
Practice Address - Street 2:
Practice Address - City:ISLANDIA
Practice Address - State:NY
Practice Address - Zip Code:11749-1701
Practice Address - Country:US
Practice Address - Phone:631-948-3055
Practice Address - Fax:631-582-3006
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-17
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant