Individual
MR. JEFFREY MEISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
188 PROVIDENCE STREET, BOSTON PAIN CLINIC, HYDE PARK, MA 02136
(617) 361-2166
(617) 364-3871
Mailing address
188 PROVIDENCE STREET, BOSTON PAIN CLINIC, HYDE PARK, MA 02136
(617) 361-2166
(617) 364-3871
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6900
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4900
STATE LICENSE
MA
Enumeration date
10/22/2010
Last updated
10/22/2010
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