Individual
PAMELA ELIZABETH FALCO HAYDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2102
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004111572
—
CT
01
—
080002102CT01
BLUE CROSS BLUE SHEILD
CT
Enumeration date
07/30/2006
Last updated
07/07/2014
Update your record
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