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Individual

MISS KATHRYN MARY FIRISIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSPT, NMD

Contact information

Practice address
181 MAIN ST, MONROE, CT 06468-1110
(203) 445-9843
(203) 445-9847
Mailing address
4630 S LAKESHORE DR, #231, TEMPE, AZ 85282-7164
(480) 442-2646

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
13-1363
AZ
225100000X
Physical Therapist
Primary
006607
CT
225100000X
Physical Therapist
28072
CA
225100000X
Physical Therapist
8373
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080006607CT01
BLUE CROSS
01
2V5870
HEALTH NET
01
3749649
AETNA
01
9906497
CIGNA
01
P3551720
OXFORD
Enumeration date
09/20/2005
Last updated
05/07/2013
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