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Mrs. Jenny M Braddock, PT,OCS
Specialist in Waterbury, Connecticut
NPI 1558430785

Jenny M Braddock is a Specialist based in Harwinton, CT. Jenny M Braddock practices in Waterbury, CT and has the professional credentials of PT,OCS. The NPI Number for Jenny M Braddock is 1558430785 and holds a License No. 007053 (Connecticut).

The current practice location address for Jenny M Braddock is 117 Sharon Rd, Waterbury, CT and can be reached out via phone at 203-756-2334 and via fax at 203-756-2594.

Location: 117 Sharon Rd, Waterbury, CT, 06791-2502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558430785
Provider Name
Jenny M Braddock
Credential
PT,OCS
Provider Entity Type
Individual
Gender
Female
Address
117 Sharon Rd, Waterbury, CT, 06791-2502
Phone Number
203-756-2334
Fax Number
203-756-2594
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
080007053CT01 01 CT BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
117 Sharon Rd
City
Waterbury
State
Connecticut
Zip
06705-4000
Phone Number
203-756-2334
Fax Number
203-756-2594
person
Provider Business Mailing Address Details
Address
117 Sharon Rd
City
Waterbury
State
Connecticut
Zip
06705-4000
Phone Number
203-756-2334
Fax Number
203-756-2594
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
007053 (Connecticut)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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