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Individual

PHILIP M PRIOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSPT

Contact information

Practice address
1 GREENWICH PL, SHELTON, CT 06484-7603
(203) 538-0021
(203) 466-8527
Mailing address
2408 WHITNEY AVE, HAMDEN, CT 06518-3209
(203) 626-0160
(203) 294-6734

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008692
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1730374570
CT
Enumeration date
09/13/2007
Last updated
03/05/2018
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