Provider Demographics
NPI:1881863322
Name:CABLE, JENNIFER (PT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:CABLE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:WARNOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:350 LINCOLN ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-1578
Mailing Address - Country:US
Mailing Address - Phone:781-740-4900
Mailing Address - Fax:781-740-4930
Practice Address - Street 1:350 LINCOLN ST
Practice Address - Street 2:SUITE 104
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-1578
Practice Address - Country:US
Practice Address - Phone:781-740-4900
Practice Address - Fax:781-740-4930
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA13128225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist