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SUSAN ELIZABETH DORMAN RPT

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

Registrant NPI Number: 1205003365

Individual Registrant:
 SUSAN ELIZABETH DORMAN RPT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
475 HIGH ST  MYSTIC, CT 06355-1707 US
Tel: 860-536-6070  Fax: 860-536-9480

Contact information for business:
475 HIGH ST  MYSTIC, CT 06355-1707 US
Tel: 860-536-6070  Fax: 860-536-9480

Registration Information:
NPI: 1205003365
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CT003480

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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