Individual
PATRICIA ROSE CLAMPETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 S MAIN ST, THOMASTON, CT 06787-1746
(860) 283-6248
(860) 283-6247
Mailing address
120 S MAIN ST, THOMASTON, CT 06787-1746
(860) 283-6248
(860) 283-6247
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004266658
—
CT
Enumeration date
01/25/2007
Last updated
02/12/2010
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