Provider Demographics
NPI:1922534106
Name:JABLONSKI, CELESTE JENNIFER (PT)
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:JENNIFER
Last Name:JABLONSKI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CELESTE
Other - Middle Name:JENNIFER
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:422 S FRONT ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-5012
Mailing Address - Country:US
Mailing Address - Phone:572-833-4008
Mailing Address - Fax:
Practice Address - Street 1:1402 HOSPITAL PLAZA DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-6659
Practice Address - Country:US
Practice Address - Phone:910-762-1130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-05
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCPT 16423225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist