Individual
KEITH G REIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
101 PHOENIX AVE, SUITE 2D, ENFIELD, CT 06082-4471
(860) 741-2541
Mailing address
101 PHOENIX AVE, SUITE 2D, ENFIELD, CT 06082-4471
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004295
CT
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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