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MS. JUDITH MARIE MEZZOMO PT

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

Registrant NPI Number: 1760499479

Individual Registrant:
MS. JUDITH MARIE MEZZOMO PT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
14 SHERRY DRIVE  EAST HAMPTON, CT 06424-1016 US
Tel: 860-267-9125  Fax: --

Contact information for business:
14 SHERRY DRIVE  EAST HAMPTON, CT 06424-1016 US
Tel: 860-267-9125  Fax: --

Registration Information:
NPI: 1760499479
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CT002663
N2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
000010524
N2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
CT000273

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD080002663CT02CT01




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