Individual
DR. JACK KOLVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
100 MAIN ST N, SOUTHBURY, CT 06488-3840
(959) 209-4318
Mailing address
73 PEACH FARM RD, OXFORD, CT 06478-1824
(203) 513-1409
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15177
CT
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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