Individual
MRS. JEANNE CHRISTOPULOS EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2960
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0375632
—
MA
01
—
Y65135
BCBS OF MA
MA
Enumeration date
07/12/2005
Last updated
07/13/2026
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