Individual
MISS DESIREE ANN SPOONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
86 BOSTON POST RD, WATERFORD, CT 06385
(860) 444-8713
(860) 444-1671
Mailing address
50 MOHAWK TRAIL, GUILFORD, CT 06437
(203) 457-8799
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007292
CT
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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