Individual
JAYNE ELLEN SCHACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
11 APPLE RDG, UNIT #1, MAYNARD, MA 01754-2721
(978) 897-1938
Mailing address
11 APPLE RDG, UNIT #1, MAYNARD, MA 01754-2721
(978) 897-1938
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 4728
MA
Other
Enumeration date
09/12/2009
Last updated
09/12/2009
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