Jessica Clayburgh Mspt LLC

NPI #1861965063 in Providence, Rhode Island

Provider Information

NPI Number: 1861965063
Entity Type: Organization
Organization Name: Jessica Clayburgh Mspt LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 10, 2019
Last Updated: Jan 10, 2019

Practice Location

Address: 444 ANGELL ST
City: Providence
State: Rhode Island
ZIP Code: 02906-4481
Phone: (401) 256-9159

Authorized Official

Name: JESSICA CLAYBURGH
Title: OWNER
Phone: (401) 256-9159

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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