Individual
MR. MICHAEL PAUL LEPAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
900 STRAITS TPKE, MIDDLEBURY, CT 06762-2800
(203) 577-5325
(203) 577-5329
Mailing address
377 N MAIN ST APT 2, NAUGATUCK, CT 06770-3228
(203) 687-9384
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006972
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080006972CT06
BCBS ID #
CT
Enumeration date
11/10/2006
Last updated
07/08/2007
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