Individual
MRS. LAURIE M GELDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1275 POST RD SUITE 208, FAIRFIELD, CT 06824-6024
(203) 955-1202
(203) 955-1203
Mailing address
2 TRAP FALLS RD STE 404, SHELTON, CT 06484-7622
(203) 734-7900
(203) 513-3269
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
002296
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080002296CT01
BLUE CROSS/BLUE SHIELD ID
CT
01
—
20189
HEALTH NET
CT
Enumeration date
07/22/2006
Last updated
01/15/2019
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