Individual
JILLIAN DECUFFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
10 CEDARHILL PARK DR, PLYMOUTH, MA 02360-2226
(914) 523-6864
Mailing address
29 POKONOKET RD, PLYMOUTH, MA 02360-1924
(914) 523-6864
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2768
MA
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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