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KATHLEEN A KING P.T.
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1033162821
Individual Registrant: KATHLEEN A KING P.T.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
362 FARMINGTON AVE PLAINVILLE, CT 06062-1323 US
Tel: 860-793-6993 Fax: --
Tel: 860-793-6993 Fax: --
Contact information for business:
110 HOPMEADOW ST SUITE 300 SIMSBURY, CT 06089-9407 US
Tel: 860-651-3381 Fax: 860-651-0037
Tel: 860-651-3381 Fax: 860-651-0037
Registration Information:
NPI: 1033162821
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CT | 003456 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 004215225 | CT | 05 | |
| BC&BS | 080003456CT04 | CT | 01 |
