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Individual

KATHLEEN A KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
362 FARMINGTON AVE, PLAINVILLE, CT 06062-1323
(860) 793-6993
Mailing address
110 HOPMEADOW ST, SUITE 300, SIMSBURY, CT 06089-9407
(860) 651-3381
(860) 651-0037

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003456
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004215225
CT
01
080003456CT04
BC&BS
CT
Enumeration date
05/19/2006
Last updated
05/15/2011
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