Individual
JACQUELINE BIRDSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
400 BOSTON POST RD, ORANGE, CT 06477-3545
(203) 799-3343
Mailing address
400 BOSTON POST RD, ORANGE, CT 06477-3545
(203) 799-3343
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14.011404
CT
Other
Enumeration date
06/14/2017
Last updated
01/17/2022
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