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Individual
JACLYN PONTELL
Active
Individual
JACLYN PONTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
047185-01
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25407
MA
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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