Individual
JILL S PEARLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
37 FRIEND ST, LYNN, MA 01902-3068
(781) 581-7565
Mailing address
30 LAKEVIEW AVE, WAKEFIELD, MA 01880-1042
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3653
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3673
PHYSICAL THERAPY LICENSE
MA
Enumeration date
02/11/2019
Last updated
02/11/2019
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