Individual
MICHELLE PUZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
200 MERROW RD, UNIT 2, TOLLAND, CT 06084-3416
(860) 872-8357
(860) 872-8397
Mailing address
31 OLD ROUTE 7, ATTN: CREDENTIALING DEPT, BROOKFIELD, CT 06804-1714
(203) 740-0020
(203) 775-0238
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006545
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004203577
—
CT
01
—
080006545CT
ANTHEM BC
CT
01
—
2V8093
HEALTHNET
CT
Enumeration date
05/23/2006
Last updated
10/09/2008
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