Marcus Vinicius Jackovitz, DPT Valid NPI

Individual provider · Physical Therapist · Enfield, CT

NPI

1770319519

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

14190 (CT)

Sex

Male

Sole proprietor

No

Enumerated

2024-09-09

Last updated

2024-09-09