Individual
MRS. JENNIFER LYNN DELLICICCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
29 SEWALL ST, 1, SOMERVILLE, MA 02145-1913
(617) 667-9229
Mailing address
29 SEWALL ST, UNIT 1, SOMERVILLE, MA 02145-1913
(617) 667-9229
(617) 667-4303
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7920
MA
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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