Individual
MR. KEVIN PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
101 N PLAINS INDUSTRIAL RD, WALLINGFORD, CT 06492-2360
(203) 265-0018
(203) 265-4368
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006164
CT
2251N0400X
Neurology Physical Therapist
006164
CT
2251X0800X
Orthopedic Physical Therapist
006164
CT
Other
Enumeration date
03/12/2008
Last updated
02/04/2021
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