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JACLYN FANTOM
Physical Therapist
NPI: 1053296673Individual
Specialties, Licenses & Credentials
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
PT033564(PA)
Contact & Hours
- Address
- 2410 S BROAD ST STE 101
PHILADELPHIA, PA 19145 - Phone
- (215) 334-4400
Quick Facts
- NPI
- 1053296673
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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