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1023533973
ELISE LAURA JACKSON
WATERTOWN, MA
NPI
1023533973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 23221)
Enumeration Date
2017-08-11
Last Update Date
2017-08-11
Business Address
Dr. ELISE LAURA JACKSON DPT
51 WATER ST # 205
WATERTOWN, MA 02472-4611
Phone number: 617-744-8300
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Mailing Address
Dr. ELISE LAURA JACKSON DPT
47 MASON ST # 2
SOMERVILLE, MA 02144-1607
Phone number: 978-895-6475
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