Organization
JRL PT CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRICIA LEDUC PT, DPT (PHYSICAL THERAPIST)
(860) 690-6421
Entity
Organization
Contact information
Practice address
42 MARBOY DR, PLANTSVILLE, CT 06479-1518
(860) 690-6421
Mailing address
42 MARBOY DR, PLANTSVILLE, CT 06479-1518
(860) 690-6421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225624992
—
CT
Enumeration date
09/12/2021
Last updated
10/10/2021
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