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Search › Massachusetts › 225100000X

Jared Fagerstrom, DPT

NPI 1306516984 · on the registry since 2021

Practice

Address
940 Belmont St Bldg 2
Brockton, MA 02301
Phone
(774) 826-1563
Organisation at this address
Boston Vamc
Boston Vamc
Boston Va Hospital
Bostonva Health Care System
Boston Va Healthcare System
Inferred from a shared address, not stated in the registry.
Clinicians at this address
461

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-09-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts