Mr. Jelani Hennessey

Individual provider Physical Therapy Assistant · NPI 1891262309

Mr. Jelani Hennessey is a Physical Therapy Assistant in State Farm, Virginia. Licensed in California, Maryland and Virginia. Registered with an NPI since 2018.

Licensed in: CA, MD, VA
In the registry since: 2018
Specialties on file: 3

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Practice location Address checks out

3600 Woods Way
State Farm, VA 23160-0002
Phone: (804) 598-4251

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary)	Taxonomy 225200000X · Licence 2306604870 (VA)
Physical Therapy Assistant	Taxonomy 225200000X · Licence 50520 (CA)
Physical Therapy Assistant	Taxonomy 225200000X · Licence 5069 (MD)

Record details

NPI number	1891262309
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	No
NPI enumerated	November 1, 2018
Last updated in NPPES	May 22, 2020
Certification date	May 22, 2020