Individual
JEFFREY DAVID LYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
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
Update your record
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