Individual
MR. JEREMY VIGNEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
843 BOLTON RD, U-1249, STORRS, CT 06269-1249
(860) 486-8080
(860) 486-8081
Mailing address
843 BOLTON RD, U-1249, STORRS, CT 06269-1249
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
007683
CT
Other
Enumeration date
09/25/2006
Last updated
03/12/2015
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