Individual
MRS. FAWN SHERYL OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
75 GREAT POND RD, SIMSBURY, CT 06070-1980
(860) 658-3745
(860) 658-3764
Mailing address
70 STRAWBERRY HL, WINDSOR, CT 06095-1250
(860) 688-0651
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004362
CT
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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