Individual
JACKIE A MULGREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15 PARKMAN ST, WACC 134, BOSTON, MA 02114-3117
(617) 726-7487
Mailing address
120 HOLMES STREET, UNIT 201, QUINCY, MA 02171-2461
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9358
MA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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