Individual
JESSICA STANGARONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15 PARKMAN ST, BOSTON, MA 02114-3117
(617) 724-8579
Mailing address
823 E 6TH ST, APT 2, BOSTON, MA 02127-4317
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20008
MA
Other
Enumeration date
07/28/2012
Last updated
07/28/2012
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