Individual
MS. JENNIFER LENKAUSKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11934
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0398811
—
MA
01
—
469903
TUFTS
MA
01
—
57295
FALLON
MA
01
—
Y68100
BLUE SHIELD
MD
Enumeration date
03/08/2006
Last updated
10/22/2011
Update your record
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