Individual
MICHELLE LENA PELOQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1 EMERSON DR, WINDSOR, CT 06095-3204
(860) 640-6339
Mailing address
133 MONROVIA ST, SPRINGFIELD, MA 01104-3113
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1080
CT
225200000X
Physical Therapy Assistant
—
MA
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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