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KIMBERLY I MEYER-PELLETIER
Physical Therapy >> Clinic/Center >> Ambulatory Health Care FacilitiesRegistrant NPI Number: 1609979400
Organizational Registrant:Organization Name: KIMBERLY I MEYER-PELLETIER
Organization is not Subpart
Authorized Official: KIMBERLY MEYER-PELLETIER OWNER 860--45-63772
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
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
Tel: 860-456-3772 Fax: 860-456-4941
Registration Information:
NPI: 1609979400
Entity Type: Organization
Entity Type: Organization
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 261QP2000X | Ambulatory Health Care Facilities Clinic/Center Physical Therapy |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BC | 080003871CT01 | CT | 01 |
