Organization
THERAPY WORKS PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA L DICKSON RPT (OWNER)
(860) 434-5524
Entity
Organization
Contact information
Practice address
19 HALLS RD, SUITE 204, OLD LYME, CT 06371-1457
(860) 434-5524
(860) 434-3262
Mailing address
PO BOX 854, OLD LYME, CT 06371-0854
(860) 434-5524
(860) 434-3262
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
002817
CT
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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