Organization
PEAK PERFORMANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN S. LABELLA RD, CD-N (PRESIDENT/REGISTERED DIETITIAN)
(860) 767-1535
Entity
Organization
Contact information
Practice address
1 EAGLE RIDGE DR, ESSEX, CT 06426-1330
(860) 767-1535
Mailing address
1 EAGLE RIDGE DR, ESSEX, CT 06426-1330
(860) 767-1535
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
CT544
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2700005440CT02
ANTHEM GROUP NUMBER
CT
Enumeration date
08/18/2006
Last updated
08/22/2020
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