Individual
DR. MARCUS VINICIUS JACKOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
93 WYNWOOD DR, ENFIELD, CT 06082-6149
(561) 303-7736
Mailing address
9703 SANDPIPER LN, WEST PALM BEACH, FL 33411-6321
(561) 303-7736
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14190
CT
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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