Individual
JORDYN ELIZABETH WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
435 BUCKLAND RD, SOUTH WINDSOR, CT 06074-3720
(860) 337-7100
Mailing address
16 MAYBROOK RD STE N, CAMPBELL HALL, NY 10916-2741
(845) 636-4344
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12864
CT
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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