Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 4867 | CT |
NPI | 1083269179 |
---|---|
Provider Name | Anne Thorpe Rolfe |
First Address | Simsbury, CT 06070-1980 |
Second Address | Simsbury, CT 06070-1980 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2019 |
Last Update Date | 06/08/2019 |