Individual
JACOB ZACHARY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
972 W MAIN ST, NEW BRITAIN, CT 06053-3487
(860) 827-0745
Mailing address
60 KEENEY DR, BOLTON, CT 06043-7328
(860) 461-3034
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14445
CT
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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