Individual
MRS. JACQUELYN TERESA REDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
103 GARLAND ST, EVERETT, MA 02149-5066
(617) 381-7175
(617) 381-7214
Mailing address
22 MURRAY ST, PEABODY, MA 01960-1112
(978) 535-0558
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
217
MA
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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