Individual
ANDREA MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
22 CRESCENT RD, WESTPORT, CT 06880-4542
(203) 227-5431
Mailing address
22 CRESCENT RD, WESTPORT, CT 06880-4542
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
008055
CT
225100000X
Physical Therapist
Primary
008055
CT
Other
Enumeration date
09/18/2007
Last updated
09/19/2007
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