Individual
JENNA HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
253 WASHINGTON ST, HUDSON, MA 01749-2979
(855) 657-8723
Mailing address
345 STEVENS ST, MARLBOROUGH, MA 01752-1323
(508) 397-8379
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8889
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004190328
—
CT
Enumeration date
09/29/2010
Last updated
11/11/2022
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