Individual
LAUREL A WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1001 FARMINGTON AVE, SUITE 102, BRISTOL, CT 06010-3990
(860) 582-8024
(860) 585-0609
Mailing address
15 DEERFIELD RD, BRISTOL, CT 06010-3236
(860) 484-9546
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007105
CT
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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