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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. HEIDI SUE JACOB, PTA, LMT

Active

Specialist · STOUGHTON, MA

Registration Details

NPI Number
1396092920
Provider Type
Individual
Gender
Female
NPI Issued
Aug 14, 2012 (13.71000251696 yrs)
Last Updated
Aug 16, 2012
License
8676 (MA)

Practice Information

Address
1519 CENTRAL ST
STOUGHTON, MA, 020724415
Browse MA providers · Browse ZIP 02072
Phone
7812970979
Fax
7812973703
Primary Specialty
Specialist
174400000X

Other Specialist Providers in STOUGHTON, MA

Name Credential NPI
MR. DANIEL J SIGMAN M.D. 1881642023
JOEL S GOLDEN M.D. 1104868330
JOHN M CONNOLLY M.D. 1760556385
AMMANI DASARI M.D. 1528115557
DR. EDUARDO DIZON TALUSAN M.D. 1598810715
STEPHANIE KILDAY 1912456484
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.