Individual
JACQUELINE SANCHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
22 MASONIC AVE, WALLINGFORD, CT 06492-3048
(203) 679-5959
Mailing address
9 COREY RD, NORTH HAVEN, CT 06473-1456
(203) 234-2878
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000497
CT
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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