Individual
TRACI O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
635 BROAD ST, NEW LONDON, CT 06320-2543
(860) 447-8558
(860) 447-4552
Mailing address
47 N MAIN ST, WEST HARTFORD, CT 06107-1926
(860) 409-4595
(860) 409-4595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9300
CT
Other
Enumeration date
02/09/2012
Last updated
02/02/2019
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