# JMG REHAB SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750840708
- **Authorized official:** DR. JEZIEL GONZALEZ PT, DPT (OWNER)
- **Authorized official phone:** (413) 519-4348

## Contact information

- **Practice address:** 3500 MAIN ST STE 101, SPRINGFIELD, MA 01107-1150
- **Practice address phone:** (413) 314-3053
- **Practice address fax:** (413) 341-8172
- **Mailing address:** 3500 MAIN ST STE 101, SPRINGFIELD, MA 01107-1150
- **Mailing address phone:** (413) 314-3053
- **Mailing address fax:** (413) 341-8172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/19/2019
- **Last updated:** 10/07/2021