Individual
MR. JEFFREY PATRICK WILBER DELUCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 BROADWAY ST, COLCHESTER, CT 06415-1052
(860) 376-2564
(860) 376-4812
Mailing address
2B LEE RD, LISBON, CT 06351-3042
(860) 376-2564
(860) 376-4812
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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