Individual
MR. JACQUES BERTHEAU JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13 MOWRY ST # 2R13, CENTRAL FALLS, RI 02863-2605
(912) 572-2897
Mailing address
241 GRAFTON ST, BROCKTON, MA 02301-6295
(912) 572-2897
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18519
MA
Other
Enumeration date
06/19/2025
Last updated
11/10/2025
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