JAKE BROCCOLO, DPT

Physical Therapist

Active Individual
NPI: 1144709114

Practice Address

1401 DOUGLAS AVE
North Providence, RI 02904

Phone: (401) 726-7100

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes PT03093 (RI)

Frequently Asked Questions

NPI 1144709114 is the National Provider Identifier for JAKE BROCCOLO, DPT, a Physical Therapist provider located in North Providence, RI. This NPI was enumerated on August 10, 2018.
JAKE BROCCOLO, DPT practices at 1401 DOUGLAS AVE, North Providence, RI 02904.

Quick Facts

NPI
1144709114
Type
Individual
Enumerated
Aug 10, 2018
Last Updated
Jan 30, 2026

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