Individual
MRS. JAMELYN CHIANESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
78 GORDON ST, SOMERVILLE, MA 02144-1110
(732) 713-4808
Mailing address
78 GORDON ST, SOMERVILLE, MA 02144-1110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17996
MA
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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