Individual
KRISTEN M SCALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
31 OLD ROUTE 7, BROOKFIELD, CT 06804-1711
(203) 740-0020
(203) 740-7354
Mailing address
226 WHITE ST, DANBURY, CT 06810-6814
(203) 743-8817
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006365
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004210118
—
CT
01
—
650000531
MEDIDCARE PTAN
CT
Enumeration date
05/19/2006
Last updated
09/28/2016
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