Individual
ADRIENNE PAIGE HEARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPH, CPTA
Contact information
Practice address
100 CHURCH ST S, NEW HAVEN, CT 06519-1703
(785) 640-9638
Mailing address
100 CHURCH ST S, NEW HAVEN, CT 06519-1703
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
14-02691
KS
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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