Individual
MRS. PEGGY A DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
22 MASONIC AVE, WALLINGFORD, CT 06492-3048
(203) 679-6273
Mailing address
22 MASONIC AVE, WALLINGFORD, CT 06492-3048
(203) 679-6273
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000162
CT
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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