Jonathan Patrick, PT

NPI #1417180266 in Old Lyme, Connecticut

Provider Information

NPI Number: 1417180266
Entity Type: Individual
Name: Jonathan Patrick, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 27, 2009
Last Updated: Aug 27, 2009

Practice Location

Address: 6 DAVIS RD W
City: Old Lyme
State: Connecticut
ZIP Code: 06371-1448
Phone: (860) 434-9155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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