Individual
MS. KRISTIN LEE MOYNIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
12 BOKUM RD, ESSEX, CT 06426-1500
(860) 767-9053
(860) 767-1146
Mailing address
110 GREAT HILL POND RD, PORTLAND, CT 06480-1315
(508) 414-1868
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009058
CT
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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