MEDICARE: PAULA M WEBSTER 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
1	225100000X	Physical Therapist	006368	CT

General Provider Information

NPI Number	:	1962515296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA M WEBSTER PT

Provider Business Mailing Address
First Line	:	PO BOX 466
Second Line	:
City	:	CANTON
State	:	CT
Zip	:	06019-0466
Country	:	US
Telephone Number	:	860-693-6226
Fax Number	:	860-693-8002

Provider Business Practice Location Address
First Line	:	65 ALBANY TPKE
Second Line	:	SUITE A
City	:	CANTON
State	:	CT
Zip	:	06019-2507
Country	:	US
Telephone Number	:	860-693-6226
Fax Number	:	860-693-8002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	07/01/2009

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Directions to “ PAULA M WEBSTER PT” Practice Location

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