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CAROLYN A SIRES RPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1144206939

Individual Registrant:
 CAROLYN A SIRES RPT
Gender: F

Location and contact information for practice:
544 CAMPBELL AVE  WEST HAVEN, CT 06516-4401 US
Tel: 203-937-6150  Fax: 203-937-8517

Contact information for business:
544 CAMPBELL AVE  WEST HAVEN, CT 06516-4401 US
Tel: 203-937-6150  Fax: 203-937-8517

Registration Information:
NPI: 1144206939
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CT003257

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
ANTHEM BCBS080003257CT4CT01




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