JERRY CHARLES NEISTADT

MELROSE, MA
NPI1104027317
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MA  10270)
Enumeration Date2007-05-29
Last Update Date2007-07-08
Business Address
Mr. JERRY CHARLES NEISTADT MSPT
22 COREY ST
MELROSE, MA 02176-4621
Phone number: 781-979-3165
Mailing Address
Mr. JERRY CHARLES NEISTADT MSPT
72 DANFORTH CT
HAVERHILL, MA 01832-1195
Phone number: 978-521-5386