JERILYN FORTSCH

EAST NORTHPORT, NY
NPI1336451483
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: NY  012147-01)
Enumeration Date2010-07-06
Last Update Date2010-07-06
Business Address
-- JERILYN FORTSCH P.T.
105 CATHERINE ST
EAST NORTHPORT, NY 11731-1001
Phone number: 631-681-1101
Mailing Address
-- JERILYN FORTSCH P.T.
105 CATHERINE ST
EAST NORTHPORT, NY 11731-1001
Phone number: 631-757-5674
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