Basic Information
| Provider Information | |||||||||
| NPI: | 1831372101 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PASCARELLI | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 36 VETERANS RD | ||||||||
| Address2: | |||||||||
| City: | HULL | ||||||||
| State: | MA | ||||||||
| PostalCode: | 020452016 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7819255215 | ||||||||
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| Practice Location | |||||||||
| Address1: | 95 WASHINGTON ST | ||||||||
| Address2: | |||||||||
| City: | CANTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 020214006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7818287920 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/10/2007 | ||||||||
| LastUpdateDate: | 09/21/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 17986 | MA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.