| Doctor Name: | HEATHER RENEE GLEASON JENNINGS |
| NPI Number: | 1376888388 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T., DPT, NCS |
| License Number: | 19858 |
| Business Practice Address: | 1400 Vfw Pkwy West Roxbury, MA - 021324927 |
| Business Phone Number: | 8572036523 |
| Business Fax Number: | |
| Mailing Address: | 68 Borrows Rd, FOXBORO |
| State: | MA |
| Postal Code: | 020352840 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/02/2012 |
| NPI Last Update Date: | 04/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 19858 |
| 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 |