Individual
KATHLEEN LORRAINE ALFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15 HICKORY HILL RD, BROOKFIELD, CT 06804-1512
(386) 299-0226
Mailing address
15 HICKORY HILL RD, BROOKFIELD, CT 06804-1512
(386) 299-0226
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1272
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1272
PHYSICAL THERAPY
CT
Enumeration date
12/11/2018
Last updated
12/11/2018
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