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Individual

JACLYN COLLENTRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1123 CENTRAL ST, LEOMINSTER, MA 01453-4960
(617) 536-1161
Mailing address
5 PEARL ST, SOUTHBOROUGH, MA 01772-1923
(203) 520-4101

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1248080
TX
225100000X
Physical Therapist
Primary
23426
MA

Other

Enumeration date
08/12/2014
Last updated
08/20/2020
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