Individual
JORDAN TAYLOR HONAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
586 MIDDLE TPKE E, MANCHESTER, CT 06040-3730
(860) 645-3810
Mailing address
435 HARTFORD TPKE STE U, VERNON, CT 06066-4834
(860) 979-1611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012022
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012022
CT LICENSE
CT
Enumeration date
09/14/2018
Last updated
10/08/2019
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