Individual
JASON STUART KIRK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
85 BARNES RD, SUITE 109, WALLINGFORD, CT 06492-1832
(203) 697-1067
(203) 284-0492
Mailing address
31 OLD ROUTE 7, BROOKFIELD, CT 06804-1714
(203) 740-0020
(203) 775-0238
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007153
CT
Other
Enumeration date
06/11/2006
Last updated
07/08/2007
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