NPI 1417069840
Pamela Barbara Moran, RT
Practice location
- Address
- 555 Willard Ave, Newington, CT 06111-2631
- Phone
- (860) 594-6338
- Fax
- (860) 667-6842
- Mailing address
- 87 Lakeside Dr, Bristol, CT 06010-7379
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1417069840
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 31 Aug 2006
- Record last updated
- 8 Jul 2007
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.