Doctor Name: | MARY KISSEBERTH BEDSON |
NPI Number: | 1497914626 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.P.T. |
License Number: | 008250 |
Business Practice Address: | 52 Beach Rd Suite 207 Fairfield, CT - 068246017 |
Business Phone Number: | 2032557000 |
Business Fax Number: | 2032556995 |
Mailing Address: | 52 Beach Rd, Suite 207 FAIRFIELD |
State: | CT |
Postal Code: | 068246017 |
Phone Number: | 2032557000 |
Fax Number: | 2032556995 |
NPI Enumeration Date: | 06/03/2008 |
NPI Last Update Date: | 06/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 008250 |
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 |