Individual
MRS. PAMELA WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
301 ROPE FERRY RD, WATERFORD, CT 06385-2610
(860) 444-1175
Mailing address
301 ROPE FERRY RD, WATERFORD, CT 06385-2610
(860) 444-1175
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000528
CT
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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