Individual
JILL JANECZK RUBBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 KENT RD, NEW MILFORD, CT 06776-3485
(860) 350-3330
Mailing address
16 GROVE ST, TERRYVILLE, CT 06786-4721
(860) 585-0853
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006022
LICENSE#
CT
Enumeration date
08/29/2006
Last updated
12/12/2011
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