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JENNIFER MEDEIROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
135 GOLD STAR BLVD, WORCESTER, MA 01606
(508) 856-9510
(508) 853-1907
Mailing address
630 PLANTATION ST, WOT 12TH FLOOR ATTN PHYSICIAN SERVICES, WORCESTER, MA 01605
(508) 368-5529
(508) 368-5530

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16230
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04 2472266
THREE RIVERS
01
042472266
PRIVATE HEALTHCARE SYSTEM
01
2225131
FIRST HEALTH
01
67906
FALLON COMMUNITY HEALTH P
01
7353622
AETNA US HEALTHCARE
01
785960
MVP HEALTH CARE
01
Y68323
BLUE CARE ELECT
01
Y69329
MEDICARE B
Enumeration date
01/14/2006
Last updated
07/30/2008
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