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Individual

RICHARD PIRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9B FIELDSTONE CMNS, TOLLAND, CT 06084-3418
(860) 870-9800
(860) 870-9806
Mailing address
345 BUCKLAND HILLS DR, APT 15111, MANCHESTER, CT 06042-8704

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
TEMP
LICENSE#
CT
Enumeration date
07/02/2007
Last updated
06/05/2009
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