Individual
MS. KENDYL E HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
245 ALVORD PARK RD, TORRINGTON, CT 06790-3493
(860) 482-8539
(860) 482-0258
Mailing address
245 ALVORD PARK RD, TORRINGTON, CT 06790-3493
(860) 482-8539
(860) 482-0258
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008987
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D400073754
MEDICARE NGS
CT
Enumeration date
03/16/2011
Last updated
11/30/2014
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