Individual
PREETHA KRISHNAMOORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
210 CHATFIELD ST, DERBY, CT 06418-1150
(203) 735-7402
Mailing address
4102 TOWN WALK DR, HAMDEN, CT 06518-3735
(616) 304-7398
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
008312
CT
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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