Healthcare Provider Details

I. General information

NPI: 1992960488
Provider Name (Legal Business Name): JUST FOR YOU INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2008
Last Update Date: 07/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1022 WASHINGTON ST
EAST WEYMOUTH MA
02189-1930
US

IV. Provider business mailing address

1022 WASHINGTON ST
EAST WEYMOUTH MA
02189-1930
US

V. Phone/Fax

Practice location:
  • Phone: 781-337-7969
  • Fax: 781-337-7930
Mailing address:
  • Phone: 781-337-7969
  • Fax: 781-337-7930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number47397
License Number StateMA

VIII. Authorized Official

Name: MARGARET A GILLAN
Title or Position: SOLE PROPRIETOR
Credential:
Phone: 781-337-7969