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JILLIAN CACOPARDO MPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1245758697

Individual Registrant:
 JILLIAN  CACOPARDO MPT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
14 JORDAN LN  PORTLAND, CT 06480-1620 US
Tel: 774-218-3706  Fax: --

Contact information for business:
14 JORDAN LN  PORTLAND, CT 06480-1620 US
Tel: 774-218-3706  Fax: --

Registration Information:
NPI: 1245758697
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CT7065

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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