Individual
JOHN H FIDLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
633 MIDDLESEX TPKE, OLD SAYBROOK, CT 06475-1220
(203) 688-6993
Mailing address
47 DENLER DR, MARLBOROUGH, CT 06447-1324
(860) 214-8649
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
011106
CT
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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