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1194751065
KEVIN J. JACOBS
WATERBURY, CT
NPI
1194751065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 006905)
Enumeration Date
2006-06-23
Last Update Date
2007-07-08
Business Address
-- KEVIN J. JACOBS PT
500 CHASE PKWY
WATERBURY, CT 06708-3346
Phone number: 203-754-2266
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Mailing Address
-- KEVIN J. JACOBS PT
31 OLD ROUTE 7
BROOKFIELD, CT 06804-1714
Phone number: 203-740-0020
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