Doctor Name: | MR. JEFFREY NEAL |
NPI Number: | 1043480262 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 17355 |
Business Practice Address: | 850 Boylston St Suite 200 Chestnut Hill, MA - 024672477 |
Business Phone Number: | 6177329525 |
Business Fax Number: | |
Mailing Address: | 850 Boylston Street, Suite 200 CHESTNUT HILL |
State: | MA |
Postal Code: | 02467 |
Phone Number: | 6177329525 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2008 |
NPI Last Update Date: | 06/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 17355 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |