Individual
MRS. AMY C TIRRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
150 WARE RD, DAYVILLE, CT 06241-1126
(860) 774-8574
(860) 779-5425
Mailing address
150 WARE ROAD, DAYVILLE, CT 06241
(860) 774-8574
(860) 779-5425
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009542
CT
225100000X
Physical Therapist
PT01295
RI
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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