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NPI Code Detail

MEDICARE: JEANNE MARIE DAUBERT DPT

MEDICARE:   JEANNE MARIE DAUBERT  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical Therapist008220CT

General Provider Information

NPI Number : 1124000716
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNE MARIE DAUBERT DPT
Provider Business Mailing Address
First Line : PO BOX 466
Second Line :
City : CANTON
State : CT
Zip : 06019-0466
Country : US
Telephone Number : 860-693-6226
Fax Number : 860-693-8002
Provider Business Practice Location Address
First Line : 65 ALBANY TPKE
Second Line : SUITE A
City : CANTON
State : CT
Zip : 06019-2507
Country : US
Telephone Number : 860-693-6226
Fax Number : 860-693-8002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2005
Last Update Date : 02/10/2011

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Directions to “ JEANNE MARIE DAUBERT DPT” Practice Location

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