Individual
JERI A JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
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
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
004724-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004724-1
STATE LICENSE #
NY
Enumeration date
09/10/2012
Last updated
09/10/2012
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