Doctor Name: | MARK A. DUFRESNE |
NPI Number: | 1447291323 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 003317 |
Business Practice Address: | 10b Elizabeth St Bethel, CT - 068012100 |
Business Phone Number: | 2037780720 |
Business Fax Number: | 2037786187 |
Mailing Address: | 31 Old Route 7, BROOKFIELD |
State: | CT |
Postal Code: | 068041714 |
Phone Number: | 2037780720 |
Fax Number: | 2037786187 |
NPI Enumeration Date: | 06/09/2006 |
NPI Last Update Date: | 11/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 003317 |
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 |