Michele M Dery

NPI #1033436258 in South Windsor, Connecticut

Provider Information

NPI Number: 1033436258
Entity Type: Individual
Name: Michele M Dery
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Apr 27, 2010
Last Updated: Apr 27, 2010

Practice Location

Address: 1715 ELLINGTON RD
City: South Windsor
State: Connecticut
ZIP Code: 06074-2707
Phone: (860) 432-9555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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