Kelley, Colleen
Kelley, Colleen is an individual health care provider with primary practice located at 31 Vauxhall St , New London CT 06320-5723. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Kelley, Colleen can be contacted via phone (860) 442-4363.Contact Information
Primary practice address
31 Vauxhall St
New London CT 06320-5723
Phone: (860) 442-4363
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 719 | Connecticut |
Profile Details
| NPI number | 1932737301 |
|---|---|
| LBN Legal business name | Kelley, Colleen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2020 |
| Last updated | Mar 31st, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932737301 | NPPES |
| Connecticut | Other | 719 | PTA LICENSE NUMBER |
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