Individual
JILL O MAEDER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7 FELICITY LANE, TORRINGTON, CT 06790
(860) 489-2112
(860) 489-2155
Mailing address
245 ALVORD PARK ROAD, TORRINGTON, CT 06790
(860) 482-8539
(860) 482-0258
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003834
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080003834CT01
BS
CT
01
—
3457724
AETNA
CT
Enumeration date
05/30/2006
Last updated
07/08/2007
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