Individual
JENNIFER LYNN BISSONNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
20 EASTHAMPTON RD, H13, HOLYOKE, MA 01040-7303
(413) 563-9777
Mailing address
20 EASTHAMPTON RD, H13, HOLYOKE, MA 01040-7303
(413) 563-9777
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7889
MA
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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