Individual
MR. THOMAS A. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 TOMPKINS ST, WATERBURY, CT 06708-1459
(203) 419-0381
(203) 419-0389
Mailing address
22 TOMPKINS ST, WATERBURY, CT 06708-1459
(203) 419-0381
(203) 419-0389
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008120
CT
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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