Jackson Taylor
Jackson Taylor is a Physical Therapist in Wallingford, Connecticut. Practices as a sole proprietor. Licensed in Connecticut and Massachusetts.
- Licensed in
- CT, MA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
863 N Main Street Ext Ste 200Wallingford, CT 06492-2434
Phone: (203) 265-3280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 12178 (CT) |
|---|---|
| Physical Therapist | Taxonomy 225100000X · Licence 24093 (MA) |
Record details
| NPI number | 1881251585 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 29, 2019 |
| Last updated in NPPES | May 29, 2019 |
| Mailing address | 655 S Willow St Ste 128, Manchester, NH 03103-5705 |
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