Individual
JESSICA LYNN DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
4 WATER ST, BOSTON, MA 02109-3503
(857) 277-0923
(844) 912-8606
Mailing address
4 RICHMOND SQ, PROVIDENCE, RI 02906-5117
(401) 433-4172
(401) 433-0612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15461
MA
Other
Enumeration date
01/03/2006
Last updated
10/15/2025
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