Individual
MRS. AMY ELIZABETH DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
333 MAIN ST, PORTLAND, CT 06480-1561
(860) 342-0370
Mailing address
135 BARTLETT ST, PORTLAND, CT 06480-1229
(860) 342-1642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005642
CT
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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