Provider Demographics
NPI:1205166626
Name:PLISKO, JENNIFER FRANCES (MSPT)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:FRANCES
Last Name:PLISKO
Suffix:
Gender:F
Credentials:MSPT
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Mailing Address - Street 1:113 HUNNEWELL ST
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02494-1809
Mailing Address - Country:US
Mailing Address - Phone:617-460-4901
Mailing Address - Fax:
Practice Address - Street 1:255 HIGHLAND AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494-3023
Practice Address - Country:US
Practice Address - Phone:781-449-1884
Practice Address - Fax:781-449-7972
Is Sole Proprietor?:No
Enumeration Date:2010-01-07
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA164442251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics