Individual
JACQUELYN M KALLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
88 MASONIC HOME RD, CHARLTON, MA 01507-1394
(508) 434-2300
Mailing address
PO BOX 173, LEICESTER, MA 01524-0173
(508) 208-0066
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6091
MA
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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