Individual
MR. JOHN G ST JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
33 ELECTRIC AVENUE, STE B10, FITCHBURG, MA 01420
(978) 353-0030
(978) 353-0059
Mailing address
39 CINEMA BLVD, LEOMINSTER, MA 01453
(978) 466-6677
(978) 466-1133
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6028
MA
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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