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MR. EDMOND FRANCIS CARDINAL MSPT
Orthopedic >> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1013049717
Individual Registrant:MR. EDMOND FRANCIS CARDINAL MSPT
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
11 MAIN ST MYSTIC, CT 06355-3641 US
Tel: 860-334-4229 Fax: --
Tel: 860-334-4229 Fax: --
Contact information for business:
11 MAIN ST MYSTIC, CT 06355-3641 US
Tel: 860-334-4229 Fax: --
Tel: 860-334-4229 Fax: --
Registration Information:
NPI: 1013049717
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Orthopedic | CT | 0077350 |
| N | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | RI | PT01926 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
