JACLYN TAYLOR DECRISTOFORO

PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC

Dr JACLYN TAYLOR DECRISTOFORO is a female medical professional, specializing in Physical Therapy. She graduated in 2018.

Contact

PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC

2 LAUREL AVE
WELLESLEY
MA
024817523

Tel: 7812375585

JACLYN TAYLOR DECRISTOFORO Information

Npi 1194210245
Pac Id 2769731728
Professional Enrollment Id I20180823003464
Last Name DECRISTOFORO
First Name JACLYN
Middle Name TAYLOR
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC
Group Practice Pac Id 7911979950
Number Of Group Practice Members 127
Line 1 Street Address 2 LAUREL AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WELLESLEY
State MA
Zip Code 024817523
Phone Number 7812375585
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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