MR. Jerry Charles Neistadt, MSPT

NPI #1104027317 in Melrose, Massachusetts

Provider Information

NPI Number: 1104027317
Entity Type: Individual
Name: MR. Jerry Charles Neistadt, MSPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MSPT
Enumeration Date: May 29, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 22 COREY ST
City: Melrose
State: Massachusetts
ZIP Code: 02176-4621
Phone: (781) 979-3165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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