Individual
KRISTIN LAUER PRONOVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4 HAZEL AVE, NAUGATUCK, CT 06770-4706
(203) 723-1722
Mailing address
11 OWL RIDGE RD, WOODBURY, CT 06798-2539
(203) 263-7041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4351
CT
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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