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Individual

DONNA KESSLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
36 HAYNES ST, MANCHESTER, CT 06040-4105
(860) 646-0188
Mailing address
36 HAYNES ST, MANCHESTER, CT 06040-4105
(860) 646-0188

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
002057
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080002057CT01
BLUE SHIELD
CT
01
0995439
AETNA - USHC
01
43401
ORTHO NET
01
50051-A
AETNA
01
55000036
CIGNA
01
7601
MD PHS
01
A406027
OXFORD HEALTH
01
OR3173
HEALTHNET
Enumeration date
07/17/2006
Last updated
07/08/2007
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