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Individual

MICHELE FARRELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1931 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3506
(203) 384-8681
(203) 384-0722
Mailing address
5605 MAIN ST, TRUMBULL, CT 06611-3031

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005799
CT

Other

Enumeration date
11/10/2006
Last updated
07/08/2007
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