Individual
JEFFREY DAVID LYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
44 LETENDRE AVE, FEEDING HILLS, MA 01030-1908
(860) 763-2225
Mailing address
36 WOODLAND STREET, HARTFORD, CT 06105-2325
(860) 522-2717
(860) 240-7605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007813
CT
225100000X
Physical Therapist
17390
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080007813CT01
BLUE CROSS
CT
Enumeration date
05/24/2006
Last updated
12/21/2023
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