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1700896818
JANE DAVENPORT LUCAS
BOSTON, MA
NPI
1700896818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 4529)
Enumeration Date
2006-08-09
Last Update Date
2007-07-08
Business Address
-- JANE DAVENPORT LUCAS PT
264 BEACON ST
BOSTON, MA 02116-1236
Phone number: 617-266-6621
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Mailing Address
-- JANE DAVENPORT LUCAS PT
264 BEACON STREET DBA BACK BAY PHYSICAL THERAPY
BOSTON, MA 02116
Phone number: 617-266-6621
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