Individual
KEVIN VERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
546 S BROAD ST, MERIDEN, CT 06450-6600
(203) 235-1555
Mailing address
80 LINWOOD AVE, NEWINGTON, CT 06111-3825
(860) 202-6761
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000585
LICENSE #
CT
Enumeration date
08/30/2006
Last updated
07/08/2007
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