Individual
KIMBERLY ANNE MIGNOGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
211 S MAIN ST, MIDDLETOWN, CT 06457-3714
(860) 347-7636
Mailing address
211 S MAIN ST, MIDDLETOWN, CT 06457-3714
(845) 645-9478
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2465
CT
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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