Doctor Name: | JESSICA M LIBERTY |
NPI Number: | 1356689335 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 20204 |
Business Practice Address: | 22 Mill St Suite 406 Arlington, MA - 024764784 |
Business Phone Number: | 7816468440 |
Business Fax Number: | 7816437542 |
Mailing Address: | 535 S Main St, RANDOLPH |
State: | MA |
Postal Code: | 023685261 |
Phone Number: | 7819619200 |
Fax Number: | 7819616599 |
NPI Enumeration Date: | 01/25/2013 |
NPI Last Update Date: | 01/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 20204 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |