Individual
MS. MICHELLE L THIBEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1260 E MAIN ST, MERIDEN, CT 06450-4806
(203) 630-3939
Mailing address
1260 E MAIN ST, MERIDEN, CT 06450-4806
(203) 630-3939
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6033
CT
Other
Enumeration date
04/20/2006
Last updated
08/06/2007
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