Individual
DEIRDRE ELIZABETH COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3000
(203) 336-7368
Mailing address
29 COOLRIDGE RD, MILFORD, CT 06460-7621
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000934
CT
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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