Individual
NELLY LUGO-LARCHEVEQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
693 BLOOMFIELD AVE STE 201, BLOOMFIELD, CT 06002-2489
(860) 242-8427
Mailing address
435 HARTFORD TPKE STE U, VERNON, CT 06066-4834
(860) 979-1611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004602
CT
Other
Enumeration date
01/30/2006
Last updated
02/09/2022
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