Individual
KETAKI JAIRAJ JATAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 GARLAND ST, EVERETT, MA 02149-5066
(617) 381-7175
Mailing address
103 GARLAND ST, EVERETT, MA 02149-5066
(617) 381-7175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
26761
MD
225100000X
Physical Therapist
Primary
88458
MA
Other
Enumeration date
11/27/2017
Last updated
09/09/2025
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