Individual
JILLIAN GREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
86 BOSTON POST RD, SUITE 1, WATERFORD, CT 06385-2434
(860) 444-8713
(860) 444-1671
Mailing address
86 BOSTON POST RD, SUITE 1, WATERFORD, CT 06385-2434
(860) 444-8713
(860) 444-1671
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9898
CT
Other
Enumeration date
08/14/2013
Last updated
11/29/2013
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