Individual
MS. JACALYN JEAN AGRILLO I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MSPT
Contact information
Practice address
585 LEBANON ST, MELROSE, MA 02176-3225
(781) 979-3563
Mailing address
6 BELLANTONI DR, ACTON, MA 01720-5342
(978) 793-1491
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17651
MA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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