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1922580091
JESSICA WALLY
SOUTHBURY, CT
NPI
1922580091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 11342)
Enumeration Date
2018-09-05
Last Update Date
2018-10-02
Business Address
JESSICA WALLY PT
655 MAIN SREET SOUTH
SOUTHBURY, CT 06488
Phone number: 877-407-3422
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Mailing Address
JESSICA WALLY PT
7 CARNEGIE PLZ
CHERRY HILL, NJ 08003-1000
Phone number: 877-407-3422
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