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Individual

MS. PAMELA D MARKERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
195 W MAIN ST, NEW BRITAIN, CT 06052-1318
(860) 225-0674
(860) 223-0033
Mailing address
99 WILSON POND RD, HARWINTON, CT 06791-2814
(860) 485-0830

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003469
CT
225100000X
Physical Therapist
019380-1
NY
225100000X
Physical Therapist
AH 5584-PT
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08000469CT02
ANTHEM BC/BS
CT
Enumeration date
08/15/2006
Last updated
07/08/2007
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