Individual
JILLIAN PANTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 QUARRY ST, QUINCY, MA 02169-4174
(617) 770-4167
(617) 770-0971
Mailing address
104 QUARRY ST, QUINCY, MA 02169-4174
(617) 770-4167
(617) 770-0971
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20634
MA
Other
Enumeration date
08/19/2013
Last updated
11/26/2019
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