Organization
KENT PHYSICAL THERAPY, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA MARIE DEBOER PT (OFFICE MANAGER)
(860) 927-4559
Entity
Organization
Contact information
Practice address
64 MAPLE ST, KENT, CT 06757-0034
(860) 927-4559
(860) 927-3352
Mailing address
PO BOX 34, KENT, CT 06757-0034
(860) 927-4559
(860) 927-3352
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004720
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015901
ORTHONET HEALTH NET PROVI
CT
01
—
15901
CIGNA ORTHONET PROVIDER
CT
01
—
2288136
AETNA PROVIDER
CT
01
—
64-04275
UNITED HEALTH CARE PROVID
CT
01
—
7535921004
CIGNA PROVIDER
CT
01
—
OV6316
HEALTH NET PROVIDER
CT
01
—
P2057224
OXFORD OUT OF NETWORK PRO
NY
Enumeration date
02/01/2007
Last updated
08/22/2020
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