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Contact Information

MABELLE T MEDINA, PT
175 JEFFERSON ST
FAIRFIELD, CT06825-1078
 Phone: 203-365-6443
 Fax: 203-396-1046
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MABELLE T MEDINA · (Female)

NPI # 1184921017
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 02/11/2011
Last updated 02/11/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 0007457
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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