Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 002493 | CT |
N | 2251X0800X | Physical Therapist - Orthopedic | 002493 | CT |
NPI | 1013029545 |
---|---|
Provider Name | Gail M. Hendsey |
First Address | East Windsor, CT 06088-9647 |
Second Address | Windsor, CT 06095-2507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 19/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S71522 | (02) |