Individual
JANE M BIEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
110 NEWBURG ST, ROSLINDALE, MA 02131-3319
(617) 325-1208
Mailing address
110 NEWBURG ST, ROSLINDALE, MA 02131-3319
(617) 325-1208
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
6204
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y66593
BCBS MA PROVIDER ID
MA
Enumeration date
11/30/2006
Last updated
07/08/2007
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