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NPI Code Detail

MEDICARE: JENNIFER SANTOS

MEDICARE: JENNIFER SANTOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1023666039
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER SANTOS
Provider Business Mailing Address
First Line : 31 CARLETON ST
Second Line :
City : METHUEN
State : MA
Zip : 01844-4305
Country : US
Telephone Number : 979-590-3109
Fax Number :
Provider Business Practice Location Address
First Line : 370 MERRIMACK ST
Second Line :
City : LAWRENCE
State : MA
Zip : 01843-1788
Country : US
Telephone Number : 978-620-0290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2019
Last Update Date : 05/07/2026

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Directions to “ JENNIFER SANTOS ” Practice Location

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