Individual
MR. JERRY CHARLES NEISTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
22 COREY ST, MELROSE, MA 02176-4621
(781) 979-3165
(781) 979-3189
Mailing address
72 DANFORTH CT, HAVERHILL, MA 01832-1195
(978) 521-5386
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10270
MA
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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