Individual
ERIC DYSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1145 POQUONNOCK RD, GROTON, CT 06340-4620
(860) 446-9960
Mailing address
26 DEVONSHIRE DR, WATERFORD, CT 06385-1702
(860) 857-4572
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001495
CT
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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