Individual
CAROLYN A SIRES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
544 CAMPBELL AVE, WEST HAVEN, CT 06516-4401
(203) 937-6150
(203) 937-8517
Mailing address
544 CAMPBELL AVE, WEST HAVEN, CT 06516-4401
(203) 937-6150
(203) 937-8517
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003257
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080003257CT4
ANTHEM BCBS
CT
Enumeration date
12/22/2005
Last updated
07/08/2007
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