Doctor Name: | MS. KRISTIN LEE MOYNIHAN |
NPI Number: | 1184910572 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T. |
License Number: | 009058 |
Business Practice Address: | 12 Bokum Rd Essex, CT - 064261500 |
Business Phone Number: | 8607679053 |
Business Fax Number: | 8607671146 |
Mailing Address: | 110 Great Hill Pond Rd, PORTLAND |
State: | CT |
Postal Code: | 064801315 |
Phone Number: | 5084141868 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2011 |
NPI Last Update Date: | 06/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 009058 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |