Individual
JANE MARQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL25517
MA
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002789
LICENSE
CT
01
—
PTL25517
1740390400
MA
Enumeration date
08/30/2006
Last updated
03/26/2026
Update your record
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