NPI 1023257490

Therapy Works Pediatrics

Organisation Specialist Old Lyme, CT

Practice location

Address: 19 Halls Rd Suite 204, Old Lyme, CT 06371-1457
Phone: (860) 434-5524
Fax: (860) 434-3262
Mailing address: PO Box 854, Old Lyme, CT 06371-0854

Authorised official

Name: Debra L Dickson
Title: Owner
Phone: (860) 434-5524

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 002817 (CT)

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Registry record

NPI: 1023257490
Entity type: Organization
NPI issued: 9 Feb 2009
Record last updated: 9 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.