Individual
MICHELE M DERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1715 ELLINGTON RD, SOUTH WINDSOR, CT 06074-2707
(860) 432-9555
Mailing address
1715 ELLINGTON RD, SOUTH WINDSOR, CT 06074-2707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004609
CT
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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