Individual
JESENIA ISIS CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
465 WAVERLEY OAKS RD STE 101, WALTHAM, MA 02452-8497
(781) 894-6564
Mailing address
175Q CENTRE ST APT 1722, QUINCY, MA 02169-8607
(512) 590-5540
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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