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NPI Code Detail

MEDICARE: JESSICA L DONIA MPT

MEDICARE:   JESSICA L DONIA  MPT
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 Therapist15890MA

General Provider Information

NPI Number : 1558573865
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA L DONIA MPT
Provider Business Mailing Address
First Line : 81 EMERY RD
Second Line :
City : TOWNSEND
State : MA
Zip : 01469-1274
Country : US
Telephone Number : 978-597-2320
Fax Number :
Provider Business Practice Location Address
First Line : 607 NORTH AVE
Second Line : SUITE 17
City : WAKEFIELD
State : MA
Zip : 01880-1322
Country : US
Telephone Number : 781-224-3399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 08/19/2016

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Directions to “ JESSICA L DONIA MPT” Practice Location

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