Jessica Bazar, PT

NPI #1265720304 in Pawtucket, Rhode Island

Provider Information

NPI Number: 1265720304
Entity Type: Individual
Name: Jessica Bazar, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 11, 2011
Last Updated: Jul 11, 2011

Practice Location

Address: 727 EAST AVE
City: Pawtucket
State: Rhode Island
ZIP Code: 02860-6184
Phone: (401) 365-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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