Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 3609 | CT |
NPI | 1073577813 |
---|---|
Provider Name | Mr. Thomas F Harney |
First Address | Chepachet, RI 02814-1701 |
Second Address | Putnam, CT 06260-1939 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2006 |
Last Update Date | 08/07/2007 |