Individual
JORDAN THEROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 646-1222
Mailing address
9 RACHEL ANN CT, PROSPECT, CT 06712-1570
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/23/2026
Last updated
05/23/2026
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