Individual
MR. JASON WALTER TRENOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
151 CENTRE ST # A, ROXBURY, MA 02119-1238
(617) 699-2851
Mailing address
151 CENTRE ST # A, ROXBURY, MA 02119-1238
(617) 699-2851
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11308
MA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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