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Individual

JAESON BRYAN KAWADLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T., C.S.C.S.

Contact information

Practice address
49 PEARL ST, BROCKTON, MA 02301-2817
(508) 580-9995
Mailing address
341 W BROADWAY, APT 2, BOSTON, MA 02127-1938
(508) 932-6254

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19284
MA

Other

Enumeration date
09/27/2010
Last updated
09/27/2010
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