Individual
LAURA FETKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
302 W MAIN ST STE 204, AVON, CT 06001-4306
(860) 679-0430
Mailing address
302 W MAIN ST STE 204, AVON, CT 06001-4306
(860) 679-0430
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13268
CT
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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