Individual
MRS. LAUREN QUIGLEY ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
428 HARTFORD TPKE, VERNON, CT 06066-4841
(860) 871-2508
(860) 871-1478
Mailing address
428 HARTFORD TPKE, VERNON, CT 06066-4841
(860) 871-2508
(860) 871-1478
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7724
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080007724CT03
ANTHEM BC/BS
CT
Enumeration date
04/17/2006
Last updated
04/08/2009
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