Individual
KRISTIN PUPA JACONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
227 BANK ST, CHESAPEAKE CITY, MD 21915-1016
(410) 392-2731
(410) 392-2732
Mailing address
227 BANK ST, CHESAPEAKE CITY, MD 21915-1016
(410) 392-2731
(410) 392-2732
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305206860
VA
225100000X
Physical Therapist
Primary
23775
MD
225100000X
Physical Therapist
6227
SC
Other
Enumeration date
04/08/2011
Last updated
04/27/2026
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