Individual
MRS. BETH TANNATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2440 GOLD STAR HWY, MYSTIC, CT 06355-1180
(860) 536-1001
(860) 536-1527
Mailing address
82 STILLMAN AVENUE, PAWCATUCK, CT 06379-1827
(860) 536-1001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01975
RI
Other
Enumeration date
02/10/2006
Last updated
06/03/2010
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