Individual
MRS. LETICIA JACQUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT, DPT
Contact information
Practice address
1022 BOULEVARD, #274, WEST HARTFORD, CT 06119
(860) 251-9754
Mailing address
1022 BOULEVARD, #274, WEST HARTFORD, CT 06119
(860) 251-9754
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0-30043-1
NY
225100000X
Physical Therapist
009290
CT
Other
Enumeration date
02/06/2010
Last updated
04/05/2019
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