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Individual

VERA R KILLIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
10 HIGGINS HWY, SUITE 12, MANSFIELD CENTER, CT 06250-1437
(860) 456-3772
(860) 456-4941
Mailing address
262 LAKE RD, ANDOVER, CT 06232-1709
(860) 742-1859
(860) 456-4941

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006689
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014105
ORTHONET HEALTHNET
CT
01
061503332
AETNA
CT
01
061503332002
TRICARE
CT
01
14105
ORTHONET CIGNA
CT
01
A2752221
OXFORD
CT
01
OV7726
HEALTHNET
CT
Enumeration date
10/19/2006
Last updated
02/28/2017
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