JESSE LEE DIMICK

WEST ROXBURY, MA
NPI1386680809
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: MA  1708)
Enumeration Date2006-06-22
Last Update Date2007-07-08
Business Address
Mr. JESSE LEE DIMICK PTA, LATC
43 REDLANDS RD
WEST ROXBURY, MA 02132-1506
Phone number: 617-892-2749
Mailing Address
Mr. JESSE LEE DIMICK PTA, LATC
43 REDLANDS RD
WEST ROXBURY, MA 02132-1506
Phone number: 617-892-2749
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