Doctor Name: | MS. MICHELLE L THIBEAULT |
NPI Number: | 1609831577 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 6033 |
Business Practice Address: | 1260 E Main St Meriden, CT - 064504806 |
Business Phone Number: | 2036303939 |
Business Fax Number: | |
Mailing Address: | 1260 E Main St, MERIDEN |
State: | CT |
Postal Code: | 064504806 |
Phone Number: | 2036303939 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2006 |
NPI Last Update Date: | 08/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6033 |
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 |