Individual
CARMELITA VIEGA RIFKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT MS CLTLANA
Contact information
Practice address
93 WATERBURY RD, PROSPECT, CT 06712
(203) 758-6569
(203) 758-0443
Mailing address
21 HOLLEY LANE, PROSPECT, CT 06712
(203) 758-6569
(203) 758-0443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002286
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080002286CT01
ANTHEM
—
Enumeration date
09/14/2006
Last updated
07/08/2007
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