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Ms. Heidi Sue Jacob, PTA,LMT
Specialist in Stoughton, Massachusetts
NPI 1396092920

Heidi Sue Jacob is a Specialist based in Stoughton, MA. Heidi Sue Jacob practices in Stoughton, MA and has the professional credentials of PTA,LMT. The NPI Number for Heidi Sue Jacob is 1396092920 and holds a License No. 8676 (Massachusetts).

The current practice location address for Heidi Sue Jacob is 1519 Central St, Stoughton, MA and can be reached out via phone at 781-297-0979 and via fax at 781-297-3703.

Location: 1519 Central St, Stoughton, MA, 02072-4415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396092920
Provider Name
Heidi Sue Jacob
Credential
PTA,LMT
Provider Entity Type
Individual
Gender
Female
Address
1519 Central St, Stoughton, MA, 02072-4415
Phone Number
781-297-0979
Fax Number
781-297-3703
Provider Enumeration Date
08/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1519 Central St
City
Stoughton
State
Massachusetts
Zip
02072-4415
Phone Number
781-297-0979
Fax Number
781-297-3703
person
Provider Business Mailing Address Details
Address
1519 Central St
City
Stoughton
State
Massachusetts
Zip
02072-4415
Phone Number
781-297-0979
Fax Number
781-297-3703
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
8676 (Massachusetts)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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