MISS Jenna M Shoup, PT

NPI #1841571163 in Southampton, Massachusetts

Provider Information

NPI Number: 1841571163
Entity Type: Individual
Name: MISS Jenna M Shoup, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 31, 2011
Last Updated: Aug 31, 2011

Practice Location

Address: 131 POMEROY MEADOW RD
City: Southampton
State: Massachusetts
ZIP Code: 01073-9331
Phone: (413) 262-7727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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