Individual
JILLIAN LYNN CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
103 GARLAND ST, EVERETT, MA 02149-5066
(617) 381-7175
Mailing address
176 FOREST ST, MELROSE, MA 02176-5623
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20056
MA
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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