Individual
JACQUELINE GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 BICKFORD ST, JAMAICA PLAIN, MA 02130-1401
(617) 971-2320
Mailing address
75 BICKFORD ST, JAMAICA PLAIN, MA 02130-1401
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1881
MA
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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