Individual
MRS. IRENE MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 AMITY RD, WOODBRIDGE, CT 06525-2206
(203) 387-0076
Mailing address
165 CASTLE LN, MILFORD, CT 06460-7515
(203) 521-0308
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000145
CT
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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