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KEYONNI ADAMS DPT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1568130193
Individual Registrant: KEYONNI ADAMS DPT
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
46 PRINCE ST STE 402B NEW HAVEN, CT 06519-1600 US
Tel: 203-752-7878 Fax: --
Tel: 203-752-7878 Fax: --
Contact information for business:
47 N MAIN ST WEST HARTFORD, CT 06107-1926 US
Tel: 860-409-4595 Fax: --
Tel: 860-409-4595 Fax: --
Registration Information:
NPI: 1568130193
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 | 13289 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
