Individual
MS. SHIRLEY DIANE VERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
31 VAUXHALL ST, NEW LONDON, CT 06320-5723
(860) 442-4363
(860) 447-3749
Mailing address
31 VAUXHALL ST, NEW LONDON, CT 06320-5723
(860) 442-4363
(860) 447-3749
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000584
CT
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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