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KIMBERLY PARKER P.T.

>> Specialist >> Other Service Providers

Registrant NPI Number: 1356561997

Individual Registrant:
 KIMBERLY  PARKER P.T.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
22 UPPER MAIN ST SUITE 7 SHARON, CT 06069-2083 US
Tel: 860-364-9840  Fax: 860-364-1859

Contact information for business:
26 VALLEY RD  LAKEVILLE, CT 06039-2120 US
Tel: --  Fax: --

Registration Information:
NPI: 1356561997
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist
CT003087

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MVP SPECIALIST437133NY01
EMPIRE BC BSQ34521NY01
ANTHEM BC BS080003087 CT 02CT01




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