Jennifer Ann O'brien PTA

NPI 1306045661 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1306045661
Gender Female
Enumeration Date 07/16/2007
Last Updated 10/01/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
464 MAIN ST
AGAWAM MA, 01001-1826, US
Phone (413) 306-6687
Fax
Business Location
20 BROADWAY RD
SOMERS CT, 06071-1716, US
Phone (413) 306-6687
Fax
Toxanomy
Taxonomy Code 225200000X
License State Massachusetts
License Number 8137
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According to our database, Ms. Jennifer Ann O'brien PTA NPI is 1306045661, taxonomy code is 225200000X and license number is 8137, license state is located at Massachusetts. Jennifer Ann O'brien PTA physically located at 464 Main St, Agawam MA, 01001-1826. NPI Number Jennifer Ann O'brien PTA has the Individual type.

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1306045661 NPI number is provided on an as is basis without warranty of any kind. 1306045661 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Ann O'brien PTA are for informational purposes only.