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 | |
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Address | Po Box 231, Avon, Connecticut |
Phone Number | 8604703391 |
Fax Number | 2037750238 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1790942530 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | Po Box 231 |
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City | Avon |
State | Connecticut (CT) |
Post Code | 6001 |
Phone Number | 8604703391 |
Fax Number | 2037750238 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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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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