Jennifer Bergeron, DPT
Physical Therapist in Hartford, CT. Individual provider (NPI-1).
NPI number1851055032
StatusActive
Last updated in NPPESOct 25, 2021
Details
- NPI
- 1851055032
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Bergeron
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2021
- Certification date
- Oct 6, 2021
- Last updated
- Oct 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 225100000X | Physical Therapist | 13302 | CT |
Practice location
32 Seymour StHartford, CT 06106
Phone 860-545-5000
Mailing address
9 Strawberry Rd Apt 45Ellington, CT 06029-2540
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