Organization
KIMBERLY I MEYER-PELLETIER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY MEYER-PELLETIER PT (OWNER)
(860) 456-3772
Entity
Organization
Contact information
Practice address
10 HIGGINS HWY, SUITE 12, MANSFIELD CENTER, CT 06250-1437
(860) 456-3772
(860) 456-4941
Mailing address
10 HIGGINS HWY, SUITE 12, MANSFIELD CENTER, CT 06250-1437
(860) 456-3772
(860) 456-4941
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080003871CT01
BC
CT
Enumeration date
09/07/2006
Last updated
02/28/2017
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