Individual
MR. JEFFREY CHARLES CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1208B VFW PKWY, SUITE 202, WEST ROXBURY, MA 02132-4349
(617) 325-7246
(617) 325-7282
Mailing address
1208B VFW PKWY, SUITE 202, WEST ROXBURY, MA 02132-4349
(617) 325-7246
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16796
MA
Other
Enumeration date
10/18/2006
Last updated
12/03/2007
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