NPI 1104592419
Jessica Gelineau
Practice location
- Address
- 486 Worcester St, Southbridge, MA 01550-1386
- Phone
- (508) 765-0292
- Mailing address
- 205 Freeman Rd, Charlton, MA 01507-1375
Registered specialties
Developmental Therapist
Primary
Registry record
- NPI
- 1104592419
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Aug 2021
- Record last updated
- 17 Aug 2021
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.