Individual
JANE KIRCALDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2408 WHITNEY AVE, HAMDEN, CT 06518-3209
(203) 407-3590
(203) 407-3595
Mailing address
2408 WHITNEY AVE, HAMDEN, CT 06518-3209
(203) 407-3590
(203) 407-3595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4999
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4999
STATE LICENSE
CT
Enumeration date
07/11/2013
Last updated
07/11/2013
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