Individual
KERRI A MCQUILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
655 MAIN ST S, SOUTHBURY, CT 06488-4220
(877) 407-3422
(877) 407-4329
Mailing address
300 KENSINGTON AVE, NEW BRITAIN, CT 06051-3916
(860) 224-6231
(860) 224-6260
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006045
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004270279
—
CT
01
—
080006045CT02
BCBS, BCFP, MEDIBLUE
CT
01
—
2V9634
HEALTH NET
CT
01
—
401956
WELLCARE MEDICARE
CT
01
—
7257930
AETNA
CT
01
—
810899577
PHCS
CT
01
—
9491004
MULTIPLAN
CT
Enumeration date
06/05/2006
Last updated
04/29/2025
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