Doctor Name: | MRS. MARLENE DEBORAH MUMFORD |
NPI Number: | 1912969676 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPT |
License Number: | 001242 |
Business Practice Address: | 4 Berkshire Blvd Bethel, CT - 068011001 |
Business Phone Number: | 2038263138 |
Business Fax Number: | 2037756810 |
Mailing Address: | 20 Pheasant Lane, NEW MILFORD |
State: | CT |
Postal Code: | 067765234 |
Phone Number: | 8603553200 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 001242 |
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 |