Individual
JIAXUAN GU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
54 WASHINGTON ST, WELLESLEY, MA 02481-3208
(781) 237-0400
(781) 237-0400
Mailing address
203 OAK ST, NATICK, MA 01760-1344
(508) 651-0051
(508) 651-0061
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL26462
MA
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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