Individual
MRS. KIRSTI JOBERG STENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
121 BROADWAY, COLCHESTER, CT 06415
(860) 537-6798
(860) 537-5926
Mailing address
2B LEE RD, LISBON, CT 06351-3042
(860) 376-2564
(860) 376-4812
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001933
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004205242
—
CT
01
—
080001933CT01
BCBS
CT
Enumeration date
08/07/2006
Last updated
03/21/2017
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