Individual
MISTY M DURKEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1064 EAST MAIN STREET, MERIDEN, CT 06450
(203) 235-9622
(203) 630-3600
Mailing address
181 PATRICIA M. GENOVA DRIVE, EASTERN REHABILITATION NETWORK 5TH FLOOR, NEWINGTON, CT 06111
(860) 667-5480
(860) 667-8416
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008522
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004212362
—
CT
01
—
076536
MEDICARE
CT
Enumeration date
04/20/2009
Last updated
04/20/2009
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