Individual
JACLYN DECRISTOFORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5750 POST RD STE 2A, EAST GREENWICH, RI 02818-2139
(401) 726-7100
(401) 884-5428
Mailing address
4 RICHMOND SQ STE 200, PROVIDENCE, RI 02906-5117
(401) 433-4172
(401) 433-0612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT03286
RI
225100000X
Physical Therapist
—
MA
Other
Enumeration date
06/29/2018
Last updated
10/19/2020
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