Pauline Wyatt PT

NPI 1205981404 - Physical Therapist - 225100000X

NPI Details
NPI 1205981404
Gender Female
Enumeration Date 01/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
196 PARKWAY S
WATERFORD CT, 06385-1234, US
Phone (860) 447-0417
Fax
Business Location
8259 WICKER AVE
SAINT JOHN IN, 46373-8878, US
Phone (219) 365-6553
Fax
Toxanomy
Taxonomy Code 225100000X
License State Connecticut
License Number 005293
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According to our database, Pauline Wyatt PT NPI is 1205981404, taxonomy code is 225100000X and license number is 005293, license state is located at Connecticut. Pauline Wyatt PT physically located at 196 Parkway S, Waterford CT, 06385-1234. NPI Number Pauline Wyatt PT has the Individual type.

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1205981404 NPI number is provided on an as is basis without warranty of any kind. 1205981404 is maintained by the National Plan & Provider Enumeration System. The contents of Pauline Wyatt PT are for informational purposes only.