Individual
JESSICA BABCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
431 RIVER ST STE 4, WALTHAM, MA 02453-5483
(781) 314-1000
Mailing address
576 BROADHOLLOW RD STE PROEX, MELVILLE, NY 11747-5002
(631) 359-5859
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MA
Other
Enumeration date
04/26/2022
Last updated
05/10/2022
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