Individual
DOROTHY EDGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
102 DYER AVENUE, COLLINSVILLE, CT 06022
(860) 693-7777
(860) 693-7770
Mailing address
1 DYER AVENUE, COLLINSVILLE, CT 06022
(860) 693-7777
(860) 693-7770
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000662
CT
Other
Enumeration date
12/26/2014
Last updated
12/26/2014
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