Mabelle Teodoro Medina
Physical Therapist - Geriatrics
175 Jefferson St
Fairfield
, Connecticut 06825-1078
Mabelle Teodoro Medina
Physical Therapist - Geriatrics
175 Jefferson St
Fairfield
, Connecticut 06825-1078
(203) 396-1046
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Mabelle Teodoro Medina
- 175 Jefferson St
- Fairfield, CT
- Zip : 06825-1078
- Fax : (203) 396-1046
- Phone : (203) 365-6443
Second Address
- Mabelle Teodoro Medina
- 175 Jefferson St
- Fairfield, CT
- Zip : 06825-1078
- Fax : (203) 396-1046
- Phone : (203) 365-6443
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Is Mabelle Teodoro Medina a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics | 0007457 | CT |
National Provider Identifier
| NPI | 1184921017 |
|---|---|
| Provider Name | Mabelle Teodoro Medina |
| First Address | Fairfield, CT 06825-1078 |
| Second Address | Fairfield, CT 06825-1078 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/02/2011 |
| Last Update Date | 11/02/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.