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KIMBERLY I MEYER-PELLETIER

Physical Therapy >> Clinic/Center >> Ambulatory Health Care Facilities

Registrant NPI Number: 1609979400

Organizational Registrant:
Organization Name:  KIMBERLY I MEYER-PELLETIER
Organization is not Subpart
Authorized Official:  KIMBERLY  MEYER-PELLETIER  OWNER  860--45-63772

Location and contact information for practice:
10 HIGGINS HWY SUITE 12 MANSFIELD CENTER, CT 06250-1437 US
Tel: 860-456-3772  Fax: 860-456-4941

Contact information for business:
10 HIGGINS HWY SUITE 12 MANSFIELD CENTER, CT 06250-1437 US
Tel: 860-456-3772  Fax: 860-456-4941

Registration Information:
NPI: 1609979400
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QP2000XAmbulatory Health Care Facilities
Clinic/Center
Physical Therapy

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BC080003871CT01CT01




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