Individual
JILLIAN MCNABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2 WASHINGTON ST, MELROSE, MA 02176-6055
(781) 646-8440
Mailing address
2 WASHINGTON ST, MELROSE, MA 02176-6055
(781) 961-1291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20645
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110108641A
—
MA
Enumeration date
01/30/2014
Last updated
01/30/2024
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