JONATHAN SODERQUIST

AVON, CT
NPI1013460898
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CT  11026)
Enumeration Date2016-07-28
Last Update Date2016-07-28
Business Address
-- JONATHAN SODERQUIST DPT
44 DALE RD SUITE 203
AVON, CT 06001-4315
Phone number: 860-674-1713
Mailing Address
-- JONATHAN SODERQUIST DPT
47 N MAIN ST
WEST HARTFORD, CT 06107-1926
Phone number: 860-409-4595