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NPI Code Detail

MEDICARE: ELIZABETH A. SHEA DPT

MEDICARE: ELIZABETH A. SHEA DPT
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 Therapist3941CT

General Provider Information

NPI Number : 1437231412
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH A. SHEA DPT
Provider Business Mailing Address
First Line : 2 BARNES INDUSTRIAL RD S
Second Line :
City : WALLINGFORD
State : CT
Zip : 06492-2486
Country : US
Telephone Number : 203-626-0160
Fax Number : 203-294-6734
Provider Business Practice Location Address
First Line : 3 LIESL LN
Second Line :
City : BRANFORD
State : CT
Zip : 06405-3036
Country : US
Telephone Number : 203-483-2516
Fax Number : 203-466-8527
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 05/18/2026

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