Individual
TAYLOR NICOLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 W STAFFORD RD, STAFFORD SPRINGS, CT 06076-1015
(860) 684-6528
(860) 684-5263
Mailing address
77 W STAFFORD RD, STAFFORD SPRINGS, CT 06076-1015
(860) 684-6528
(860) 684-5263
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14237
CT
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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