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NPI Code Detail

MEDICARE: MRS. JENNIFER ELAINE WELCH MSPT

MEDICARE: MRS. JENNIFER ELAINE WELCH MSPT
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 Therapist15252MA
2225100000XPhysical Therapist023586NY

General Provider Information

NPI Number : 1649399411
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER ELAINE WELCH MSPT
Provider Business Mailing Address
First Line : 50 OLD RTE. 7
Second Line :
City : NEW ASHFORD
State : MA
Zip : 01237
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 NORTH ST
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-1520
Country : US
Telephone Number : 413-499-7186
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 07/08/2007

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