Individual
HOLLY SCOVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15 MASSIRIO DR, BERLIN, CT 06037-2300
(860) 829-1300
(860) 829-1388
Mailing address
47 JOLLEY DR, BLOOMFIELD, CT 06002-3092
(860) 286-8882
(860) 286-5481
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006418
CT
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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