National Provider Identifier
Lori Lynn Jellinick, PT
Lori Lynn Jellinick, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Buffalo, NY and a listed phone number of (716) 898-4687.
Profile Overview
- NPI
- 1235296161
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- January 02, 2007
- Last Updated
- July 08, 2007
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (716) 898-4687
Mailing Address
- 1127 Staley RD
- Grand Island, NY 14072-2112
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1235296161
- Entity Type
- Individual
- Last Name
- Jellinick
- First Name
- Lori
- Middle Name
- Lynn
- Name Prefix
- Mrs.
- Credential
- PT
- Provider Other Last Name
- Kennedy
- Provider Other First Name
- Lori
- Provider Other Middle Name
- Lynn
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- PT
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1127 Staley RD
- Mailing City
- Grand Island
- Mailing State
- NY
- Mailing ZIP Code
- 14072-2112
- Mailing Country
- US
- Mailing Phone
- (716) 775-1717
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 898-4687
- Practice Fax
- (716) 898-3259
- Enumeration Date
- January 02, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)