Individual
JIAWEN KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
10 HIGH ST STE 303, BOSTON, MA 02110-1671
(617) 213-1374
Mailing address
10 HIGH ST STE 303, BOSTON, MA 02110-1671
(617) 213-1374
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25746
MA
Other
Enumeration date
10/23/2021
Last updated
10/23/2021
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