Individual
JAIMIE DOUGLASS BARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
131 DOVE LN, MIDDLETOWN, CT 06457-6245
(610) 762-5981
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009483
CT
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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