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Individual

KRISTA LYNN PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
16 WINDSOR AVE, PLAINFIELD, CT 06374-1036
(860) 564-4081
Mailing address
56 STRAWBERRY ST, LISBON, CT 06351-2836
(860) 376-2360

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005232
CT

Other

Enumeration date
06/06/2007
Last updated
07/08/2007
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