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Individual

MR. ARLIN DEBOER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
64 MAPLE ST., KENT, CT 06757-0034
(860) 927-4559
(860) 927-3352
Mailing address
PO BOX 34, KENT, CT 06757-0034
(860) 927-4559
(860) 927-3352

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004702
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0800004702CT01
ANTHEM BC/BS PROVIDER
CT
01
15901
CIGNA ORTHONET PROVIDER
CT
01
2288136
AETNA PROVIDER
CT
01
437034
MVP PROVIDER
NY
01
575838
CONNECTICARE PROVIDER
CT
01
64-04275
UNITED HEALTH CARE PROVID
CT
01
OV6316
HEALTH NET PROVIDER
CT
01
P2057224
OXFORD OUT OF NETWORK PRO
NY
01
QA6291
EMPIRE
NY
Enumeration date
08/23/2006
Last updated
07/08/2007
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