in Avon - Pediatrics

- NPI 1790942530

is a Pediatrics in Avon, Connecticut. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for is 1790942530. The last update date is .

's current location address is Po Box 231, Avon, Connecticut. You can contact this provider via phone number 8604703391 and fax number 2037750238. The mailing address for is Po Box 231, Avon, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address Po Box 231, Avon, Connecticut
Phone Number 8604703391
Fax Number 2037750238
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1790942530
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address Po Box 231
City Avon
State Connecticut (CT)
Post Code 6001
Phone Number 8604703391
Fax Number 2037750238

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 2251P0200X
Licence No 2905
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development,

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