Individual
GAYLEN PLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 BICKFORD ST, JAMAICA PLAIN, MA 02130-1401
(617) 971-2471
Mailing address
75 BICKFORD ST, JAMAICA PLAIN, MA 02130-1401
(617) 971-2471
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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