Provider Demographics
NPI:1841254364
Name:SARNO, JEAN M (PT)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:M
Last Name:SARNO
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:291 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-3628
Mailing Address - Country:US
Mailing Address - Phone:617-541-6418
Mailing Address - Fax:617-541-6312
Practice Address - Street 1:291 INDEPENDENCE DR
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-3628
Practice Address - Country:US
Practice Address - Phone:617-541-6418
Practice Address - Fax:617-541-6312
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2020-10-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA4137225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0309991Medicaid
MA0014477OtherNEIGHBORHOOD HEALTH PLAN
MAHV0001OtherHARVARD PILGRIM
MAB501027OtherCIGNA
MAY67453OtherBLUE CROSS
MA908025OtherTUFTS HEALTH PLAN
MA908025OtherTUFTS HEALTH PLAN