Individual
JEFF SEDERQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
21 WATERVILLE RD, ALLSTAR, AVON, CT 06001-2097
(860) 677-2934
Mailing address
21 WATERVILLE RD, ALLSTAR, AVON, CT 06001-2097
(860) 677-2934
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004200
CT
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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