NPI 1003287327

Cody Jennison

Practitioner Developmental Therapist Worcester, MA

Practice location

Address: 345a Greenwood Street Suite B, Worcester, MA 01607
Phone: (508) 363-0200

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

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Registry record

NPI: 1003287327
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Oct 2015
Record last updated: 13 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.