Individual
JACOB MASTORAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
300 BIRNIE AVE, SPRINGFIELD, MA 01107-1107
(413) 233-1270
Mailing address
300 BIRNIE AVE, SPRINGFIELD, MA 01107-1107
(413) 233-1270
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL25997
MA
Other
Enumeration date
02/04/2022
Last updated
11/17/2023
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