Individual
JACLYN ELIZABETH KORNEGAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
339 FLANDERS RD, EAST LYME, CT 06333-1700
(860) 739-6437
Mailing address
54 RONALD RD, GROTON, CT 06340-3819
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
7367
CT
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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