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Individual

MS. JENNIFER B GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, CSCS

Contact information

Practice address
9 WHALEN RD, HOPKINTON, MA 01748-1719
(508) 497-2455
Mailing address
9 WHALEN RD, HOPKINTON, MA 01748-1719
(508) 497-2455

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
10556
MA
2251X0800X
Orthopedic Physical Therapist
Primary
10556
MA

Other

Enumeration date
02/05/2013
Last updated
02/05/2013
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