Jessica Wally, PT
NPI #1922580091 in Southbury, Connecticut
Provider Information
- NPI Number
- 1922580091
- Entity Type
- Individual
- Name
- Jessica Wally, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Sep 5, 2018
- Last Updated
- Oct 2, 2018
Practice Location
- Address
- 655 MAIN SREET SOUTH
- City
- Southbury
- State
- Connecticut
- ZIP Code
- 06488
- Phone
- (877) 407-3422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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