NPI 1295088151
Kathleen Susan Fortin, PTA
Practice location
- Address
- 1 Emerson Dr, Windsor, CT 06095-3204
- Phone
- (860) 640-6338
- Mailing address
- 2 Hemlock Cir, Stafford Springs, CT 06076-4328
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1295088151
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Oct 2012
- Record last updated
- 17 Oct 2012
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.