Provider Demographics
NPI:1508008509
Name:RAWLINS ROY, JESSICA A (PT)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:A
Last Name:RAWLINS ROY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 W CENTER ST
Mailing Address - Street 2:
Mailing Address - City:WEST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02379-1785
Mailing Address - Country:US
Mailing Address - Phone:508-588-2800
Mailing Address - Fax:508-588-2881
Practice Address - Street 1:320 W CENTER ST
Practice Address - Street 2:
Practice Address - City:WEST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02379-1626
Practice Address - Country:US
Practice Address - Phone:508-588-2800
Practice Address - Fax:508-588-2881
Is Sole Proprietor?:No
Enumeration Date:2009-04-06
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17895225100000X
NY030303-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist