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1104161538
JACK RICHARD KINSEY
WEST HARTFORD, CT
NPI
1104161538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CT 000710)
Enumeration Date
2012-12-12
Last Update Date
2012-12-12
Business Address
JACK RICHARD KINSEY PTA
1 EMILY WAY
WEST HARTFORD, CT 06107-3136
Phone number: 860-561-7022
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Mailing Address
JACK RICHARD KINSEY PTA
4 BRIGHTVIEW DR
WEST HARTFORD, CT 06117-2001
Phone number: 860-233-3041
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