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NPI Code Detail

MEDICARE: MISS WING YAN PLOMITALLO PT

MEDICARE:  MISS WING YAN PLOMITALLO  PT
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 Therapist008212CT

General Provider Information

NPI Number : 1215992565
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS WING YAN PLOMITALLO PT
Provider Business Mailing Address
First Line : 110 COURT ST STE 3
Second Line :
City : CROMWELL
State : CT
Zip : 06416-1273
Country : US
Telephone Number : 860-613-9930
Fax Number :
Provider Business Practice Location Address
First Line : 110 COURT ST STE 3
Second Line :
City : CROMWELL
State : CT
Zip : 06416-1273
Country : US
Telephone Number : 860-613-9930
Fax Number : 860-613-9952
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 02/19/2025

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Directions to “ MISS WING YAN PLOMITALLO PT” Practice Location

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