Individual
JENNIFER M MACINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2 PARTRIDGE LN, LYNNFIELD, MA 01940-2560
(781) 258-3970
Mailing address
2 PARTRIDGE LANE, LYNNFIELD, MA 01940
(781) 258-3970
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6195
MA
Other
Enumeration date
06/22/2007
Last updated
04/07/2009
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