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NPI Code Detail

MEDICARE: JUMP START PHYSICAL THERAPY, INC

MEDICARE: JUMP START PHYSICAL THERAPY, INC
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
1261QP2000XPhysical Therapy Clinic/Center11437MA

General Provider Information

NPI Number : 1497769483
Entity Type Code : Organization
Provider Name (Legal Business Name) : JUMP START PHYSICAL THERAPY, INC
Provider Business Mailing Address
First Line : 1 H F BROWN WAY
Second Line :
City : NATICK
State : MA
Zip : 01760-3889
Country : US
Telephone Number : 508-647-1633
Fax Number : 508-647-1634
Provider Business Practice Location Address
First Line : 1 H F BROWN WAY
Second Line :
City : NATICK
State : MA
Zip : 01760-3889
Country : US
Telephone Number : 508-647-1633
Fax Number : 508-647-1634
Authorized Official
Title or Position : PHYSICAL THERAPIST/ OWNER
Name : DANIEL M CONNORS
Credential : PT, MS, CSCS, USAW
Telephone Number : 508-647-1633
Provider Enumeration Date : 07/28/2006
Last Update Date : 03/04/2015

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Directions to “JUMP START PHYSICAL THERAPY, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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