Individual
MRS. JODI MARIE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
45 MERIDEN AVE, SOUTHINGTON CARE CENTER, REHAB DEPT, SOUTHINGTON, CT 06489-3214
(860) 378-1234
Mailing address
19 CREST RD, SOUTHINGTON, CT 06489-2807
(860) 276-7426
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006940
CT
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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