Individual
JEFFREY THOMAS TREMBLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
68 GOLD ST, AGAWAM, MA 01001-2978
(413) 883-0145
Mailing address
68 GOLD ST, AGAWAM, MA 01001-2978
(413) 883-0145
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PTL26111
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110217828A
—
MA
Enumeration date
09/24/2024
Last updated
10/01/2025
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