Individual
JACLYN DIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, GCS
Contact information
Practice address
4200 PARK AVE, BRIDGEPORT, CT 06604-1049
(203) 365-6443
(203) 396-1046
Mailing address
4200 PARK AVE, BRIDGEPORT, CT 06604-1049
(203) 365-6443
(203) 396-1046
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011016
CT
Other
Enumeration date
08/15/2016
Last updated
01/12/2021
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