Most Relevant Information
Provider Data
| NPI Number: | 1003397183 |
| Provider Name: | JENNIFER KOOT |
| Entity Type: | Individual |
| Taxonomy Code: | 208100000X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | 9518 |
Most Important Dates
| Enumeration Date: | 08/27/2018 |
| Last Updated: | 08/27/2018 |
Provider Practice Location
277 ELLIOT ST
NEWTON
MA
024641297
Practice Location Phone/Fax
| Phone: | 6175270023 |
| Fax: |
Provider Mailing Location
430 WINCHESTER ST
NEWTON HIGHLANDS
MA
024612011
Provider Mailing Phone/Fax
| Phone: | 8574139887 |
| Fax: |