Individual
JILLIAN VAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1171 E PUTNAM AVE, RIVERSIDE, CT 06878-1426
(203) 637-1700
(203) 637-5447
Mailing address
1171 E PUTNAM AVE, RIVERSIDE, CT 06878-1426
(203) 637-1700
(203) 637-5447
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007855
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800007855CT01
BLUE CROSS ID NUMBER
CT
Enumeration date
05/11/2006
Last updated
12/26/2007
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