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NPI Code Detail

MEDICARE: DR. JENNIFER WILLIAMS PT, DPT, CLT-LANA

MEDICARE: DR. JENNIFER WILLIAMS PT, DPT, CLT-LANA
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
1208100000XPhysical Medicine & Rehabilitation PhysicianPTL18642MA

General Provider Information

NPI Number : 1871428441
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER WILLIAMS PT, DPT, CLT-LANA
Provider Business Mailing Address
First Line : 120 WINTER ST
Second Line :
City : CLINTON
State : MA
Zip : 01510-4006
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 105 CORPORATE DR
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-6825
Country : US
Telephone Number : 603-501-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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