Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 009093 | CT |
NPI | 1205234101 |
---|---|
Provider Name | Alden Alleyne |
First Address | Meriden, CT 06451-1907 |
Second Address | Meriden, CT 06451-1907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2014 |
Last Update Date | 09/12/2014 |