Individual
JOSE DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 ESSEX ST STE 1E, LAWRENCE, MA 01840-1553
(978) 208-0402
Mailing address
225 ESSEX ST STE 1E, LAWRENCE, MA 01840-1553
(978) 208-0402
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9145
MA
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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