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

Registrant NPI Number: 1821333154

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
Tel: 203-758-6569  Fax: 203-758-0443

Contact information for business:
21 HOLLEY LN  PROSPECT, CT 06712-1484 US
Tel: 203-758-6569  Fax: 203-758-0443

Registration Information:
NPI: 1821333154
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist

Legacy codes, insurance codes and state license numbers:



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