Individual
MR. JASON DONALD RANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3000
Mailing address
5 BUNTING RD, SEYMOUR, CT 06483-3807
(617) 417-3209
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2025
CT
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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