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Individual

MISS JENNIFER E BEATTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C, MSPT

Contact information

Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 525-8470
Mailing address
75 FRANCIS ST, ASB II, BOSTON, MA 02115-6110

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
16647
MA
363A00000X
Physician Assistant
Primary

Other

Enumeration date
04/02/2007
Last updated
04/22/2014
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