Individual
JASMINE JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
120 MURRAY ST, MEDFORD, MA 02155-1300
(781) 391-0800
Mailing address
29 ROYALL ST APT 6, MEDFORD, MA 02155-4580
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14022
MA
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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