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Jennifer Praticante, PTA

Physical Therapy Assistant in New Bedford, MA. Individual provider (NPI-1).

NPI number1063011997
StatusActive
Last updated in NPPESOct 21, 2020

Details

NPI
1063011997
Entity type
Individual (NPI-1)
Name
Jennifer Praticante
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 21, 2020
Certification date
Oct 21, 2020
Last updated
Oct 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant9599MAYes

Practice location

359 Summer St
New Bedford, MA 02740-5519

Phone 508-996-6751

Mailing address

73 Willard St Apt 1
New Bedford, MA 02744-1514

Phone 508-971-2320

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