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MS. PENNY ANNE ALLYN PT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1952310955
Individual Registrant:MS. PENNY ANNE ALLYN PT
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
2B LEE ROAD LISBON, CT 06351 US
Tel: 860-376-2564 Fax: 860-376-4812
Tel: 860-376-2564 Fax: 860-376-4812
Contact information for business:
2B LEE ROAD LISBON, CT 06351 US
Tel: 860-376-2564 Fax: 860-376-4812
Tel: 860-376-2564 Fax: 860-376-4812
Registration Information:
NPI: 1952310955
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CT | 003774 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BCBS | 080003774CT04 | CT | 01 |
| 004085199 | CT | 05 |
