Individual
KELLY COLEGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1138 FARMINGTON AVE, BERLIN, CT 06037-2242
(860) 829-5511
Mailing address
PO BOX 452, BERLIN, CT 06037-0452
(860) 829-5511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012072
CT
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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