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JILL O MAEDER PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1891742045

Individual Registrant:
 JILL O MAEDER PT
Gender: F

Location and contact information for practice:
7 FELICITY LANE  TORRINGTON, CT 06790 US
Tel: 860-489-2112  Fax: 860-489-2155

Contact information for business:
245 ALVORD PARK ROAD  TORRINGTON, CT 06790 US
Tel: 860-482-8539  Fax: 860-482-0258

Registration Information:
NPI: 1891742045
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CT003834

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BS080003834CT01CT01
AETNA3457724CT01




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