Individual
JEANINE MARIE MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
64 DANBURY RD, WILTON, CT 06897-4429
(800) 278-0332
(800) 970-5001
Mailing address
64 DANBURY RD, WILTON, CT 06897-4429
(800) 278-0332
(800) 970-5001
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160000224
IL
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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