Individual
MRS. DENISE MARIE LOOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002029
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080002029CT03
BLUE CROSS
—
01
—
2V5870
HEALTH NET FACILITY #
—
01
—
3268330
AETNA
—
01
—
37901
ORTHONET CIGNA GRP #
—
01
—
9906497
GROUP #
—
01
—
ZS387
OXFORD
—
Enumeration date
09/20/2005
Last updated
07/08/2007
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