Individual
LINDA MAUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
52 BEACH RD STE 207, FAIRFIELD, CT 06824
(203) 255-7000
(203) 255-6995
Mailing address
11 SPLIT ROCK RD, BETHANY, CT 06524-3376
(203) 506-8429
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002440
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004398203
—
CT
01
—
080002440CT01
BLUE CROSS
CT
01
—
ANC1153
OXFORD HEALTH PLANS
CT
01
—
OV1301
HEALTHNET
CT
Enumeration date
04/03/2007
Last updated
09/19/2018
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