Individual
KYLE SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 CHURCH ST STE 8, NAUGATUCK, CT 06770-2836
(203) 723-4010
Mailing address
22 TOMPKINS STREET, -, WATERBURY, CT 06708-1458
(203) 419-0381
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2226
CT
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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