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Contact Information

ROBERTA NOLE, MAPT, CPED
80 TURNPIKE DR
UNIT 1
MIDDLEBURY, CT06762-1830
 Phone: 203-758-8307
 Fax: 203-758-8394
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Orthotics/Prosthetics Fitter

225000000X
Indicates primary specialty

NPI Profile & details for ROBERTA NOLE · (Female)

NPI Number 1700064979
Status Active
Credentials MAPT, CPED
Entity Individual
Enumeration date 02/09/2008
Last updated 01/30/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 003621
  • CT Medicaid 004137338
  • CT Other 12DME0603CT01 ANTHEM BLUE CROSS BLUE SHIELD
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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