Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 003106 | CT |
N | 2251H1200X | Hand | 003106 | CT |
NPI | 1891792578 |
---|---|
Provider Name | Ms. Laura G Adair |
First Address | Hamden, CT 06518-3267 |
Second Address | Hamden, CT 06518-3267 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 29/06/2021 |