Individual
KEVIN PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 ELMWOOD CT, NEWINGTON, CT 06111-1401
(860) 953-1204
Mailing address
107 MAHEU ST, BRISTOL, CT 06010-3051
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1467
CT
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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