Jeremy Gagnon
NPI #1326394610 in Wolcott, Connecticut
Provider Information
- NPI Number
- 1326394610
- Entity Type
- Individual
- Name
- Jeremy Gagnon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jul 24, 2012
- Last Updated
- Jul 24, 2012
Practice Location
- Address
- 50 BEACH RD
- City
- Wolcott
- State
- Connecticut
- ZIP Code
- 06716-1902
- Phone
- (203) 879-8066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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