Individual
KENNETH KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5 PEQUOT PARK RD STE 102, WESTBROOK, CT 06498-2856
(860) 399-6411
Mailing address
47 N MAIN ST, WEST HARTFORD, CT 06107-1926
(860) 409-4459
(860) 409-4860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12069
CT
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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