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JAKE BROCCOLO, DPT

DPT

Physical Therapist

NPI: 1144709114IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical Therapist

Code: 225100000X

PTL88684(MA)PT03093(RI)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2018

Contact & Hours

Via practice · 2 locations total

Address
1401 DOUGLAS AVE
NORTH PROVIDENCE, RI 02904

Quick Facts

NPI
1144709114
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
2
Years in Practice
8

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