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NPI Code Detail

MEDICARE: MISS JENNIFER KIM MCKNIGHT BLAGRIFF PT

MEDICARE: MISS JENNIFER KIM MCKNIGHT BLAGRIFF PT
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
1225100000XPhysical Therapist3064NH

General Provider Information

NPI Number : 1528146990
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JENNIFER KIM MCKNIGHT BLAGRIFF PT
Provider Business Mailing Address
First Line : 716 HOPKINTON RD
Second Line :
City : HOPKINTON
State : NH
Zip : 03229-2633
Country : US
Telephone Number : 603-224-4454
Fax Number :
Provider Business Practice Location Address
First Line : 124 HALL ST STE G
Second Line :
City : CONCORD
State : NH
Zip : 03301-3442
Country : US
Telephone Number : 603-224-4540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 02/28/2017

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