Individual
MS. DONNA LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 BOKUM RD, ESSEX, CT 06426-1510
(860) 767-4578
Mailing address
30 BOKUM RD, ESSEX, CT 06426-1510
(860) 767-4578
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002960
CT
Other
Enumeration date
05/07/2007
Last updated
12/01/2012
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