NPI 1104100122

Jeanine Marie McDermott, PTA

Practitioner Physical Therapy Assistant Wilton, CT

Practice location

Address: 64 Danbury Rd, Wilton, CT 06897-4429
Phone: (800) 278-0332
Fax: (800) 970-5001

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 160000224 (IL)

Other Physical Therapy Assistant providers in Connecticut →

Registry record

NPI: 1104100122
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Oct 2011
Record last updated: 10 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.