Individual
MIRA SHEENA ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
100 RANDOLPH RD, MIDDLETOWN, CT 06457-5637
(860) 344-0353
Mailing address
124 CHESTNUT DR, COLCHESTER, CT 06415-1422
(914) 539-0751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
040303
NY
225100000X
Physical Therapist
Primary
10053
CT
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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