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Jareth Cardoso

Physical Therapist in Glastonbury, CT. Individual provider (NPI-1).

NPI number1063842011
StatusActive
Last updated in NPPESNov 12, 2013

Details

NPI
1063842011
Entity type
Individual (NPI-1)
Name
Jareth Cardoso
Sex
Male
Sole proprietor
No
Enumeration date
Nov 12, 2013
Last updated
Nov 12, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist9977CTYes

Practice location

2928 Main St Ste 2
200
Glastonbury, CT 06033-1007

Phone 860-430-2344 · Fax 860-430-2349

Mailing address

2928 Main St Ste 2
200
Glastonbury, CT 06033-1007

Phone 860-430-2344 · Fax 860-430-2349

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