Individual
THOMAS P SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
14 PECK ST, KENSINGTON, CT 06037-2153
(860) 505-0235
Mailing address
14 PECK ST, KENSINGTON, CT 06037-2153
(860) 505-0235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006907
CT
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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