Individual
KENDAL B MAINVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9B FIELDSTONE CMNS, TOLLAND, CT 06084-3418
(860) 870-9800
(860) 870-9806
Mailing address
148 EAST AVE, SUITE 2M, NORWALK, CT 06851-5721
(203) 866-5458
(203) 866-3014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008364
CT
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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