Individual
MS. JENNIFER ANN O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
464 MAIN ST, AGAWAM, MA 01001-1826
(413) 306-6687
Mailing address
20 BROADWAY RD, SOMERS, CT 06071-1716
(413) 306-6687
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8137
MA
Other
Enumeration date
07/16/2007
Last updated
10/01/2014
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