Individual
MARY BETH A. CHIAIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
636 CAMPBELL AVE, WEST HAVEN, CT 06516-4408
(203) 934-6690
(203) 934-6659
Mailing address
30 MEGHAN LN, SHELTON, CT 06484-1694
(203) 926-9657
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002275
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002275
PT LICENSE
CT
Enumeration date
01/11/2007
Last updated
07/08/2007
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