Jenna M Shoup, PT Valid NPI
Individual provider · Physical Therapist · Southampton, MA
- NPI
- 1841571163
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 18586 (MA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-08-31
- Last updated
- 2011-08-31
Practice location
131 Pomeroy Meadow Rd
Southampton, MA 01073-9331
(413) 262-7727