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MR. EDMOND FRANCIS CARDINAL MSPT

Orthopedic >> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1013049717

Individual Registrant:
MR. EDMOND FRANCIS CARDINAL MSPT
Gender: M
Sole Proprietor

Location and contact information for practice:
11 MAIN ST  MYSTIC, CT 06355-3641 US
Tel: 860-334-4229  Fax: --

Contact information for business:
11 MAIN ST  MYSTIC, CT 06355-3641 US
Tel: 860-334-4229  Fax: --

Registration Information:
NPI: 1013049717
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
Orthopedic
CT0077350
N2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
RIPT01926

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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