Individual
JEFFREY RAYMOND BAREFOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
17 CHIPMAN WAY, KINGSTON, MA 02364-1039
(781) 585-4100
Mailing address
25 FORGE RD, ASSONET, MA 02702-1428
(781) 585-4100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7697
MA
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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