Individual
JILL BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 BRIARWOOD CT, ROCKY HILL, CT 06067-3833
(203) 525-9533
Mailing address
1404 BRIARWOOD CT, ROCKY HILL, CT 06067-3833
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006868
CT
Other
Enumeration date
03/28/2015
Last updated
03/28/2015
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