Individual
JENNIFER HAYDN DECAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 N BEACON ST, BOSTON, MA 02134-1928
(617) 787-2300
Mailing address
100 NORTH BEACON STREET, BRIGHTON, MA 02134
(617) 787-2300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8245
MA
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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