National Provider Identifier

Jillian Bidwell, PT

Jillian Bidwell, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in North Tonawanda, NY and a listed phone number of (716) 204-5925.

NPI 1568276137North Tonawanda, NYPhysical Therapist

Profile Overview

NPI
1568276137
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
February 04, 2025
Last Updated
February 04, 2025

Practice Location

  • 87 Mead St
  • North Tonawanda, NY 14120-4444

Phone: (716) 204-5925

Mailing Address

  • 156 Hagen Ave
  • North Tonawanda, NY 14120-4459

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1568276137
Entity Type
Individual
Last Name
Bidwell
First Name
Jillian
Credential
PT
Mailing Street Address
156 Hagen Ave
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-4459
Mailing Country
US
Practice Street Address
87 Mead St
Practice City
North Tonawanda
Practice State
NY
Practice ZIP Code
14120-4444
Practice Country
US
Practice Phone
(716) 204-5925
Enumeration Date
February 04, 2025
Last Updated
February 04, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
February 04, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)