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NPI Code Detail

MEDICARE: KELLY MESSINA

MEDICARE: KELLY MESSINA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist6660CT

General Provider Information

NPI Number : 1063846947
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY MESSINA
Provider Business Mailing Address
First Line : 8 FAWN HILL RD
Second Line :
City : BEACON FALLS
State : CT
Zip : 06403-1046
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 145 GROVE ST
Second Line :
City : WATERBURY
State : CT
Zip : 06710-2202
Country : US
Telephone Number : 203-753-7205
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2013
Last Update Date : 08/27/2013

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Directions to “ KELLY MESSINA ” Practice Location

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