Individual
MS. JILL VAIL WORTHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
876 FALMOUTH RD, HYANNIS, MA 02601-2322
(508) 540-3240
Mailing address
PO BOX 862, WEST FALMOUTH, MA 02574-0862
(508) 540-3240
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7914
MA
Other
Enumeration date
09/03/2007
Last updated
09/03/2007
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