Individual
JARED GREGORY SCOVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1111 CROMWELL AVE STE 304, ROCKY HILL, CT 06067-3455
(860) 256-8443
Mailing address
16 MAYBROOK RD STE N, CAMPBELL HALL, NY 10916-2741
(845) 636-4344
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12794
CT
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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