Individual
MR. JOHN DEREK JARECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1735 POST RD, SUITE 7, FAIRFIELD, CT 06824-5782
(203) 256-4733
(203) 256-4736
Mailing address
188 JOCKEY HOLLOW RD, MONROE, CT 06468-1235
(203) 261-1252
(203) 268-1008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004349
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080004349CT01
ANTHEM BC/BS
CT
01
—
2V1340
HEALTHNET
CT
Enumeration date
08/13/2006
Last updated
07/08/2007
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