Medina, Mabelle Teodoro
Medina, Mabelle Teodoro is an individual health care provider with primary practice located at 175 Jefferson St , Fairfield CT 06825-1078. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as her primary health care specialty. Medina, Mabelle Teodoro can be contacted via phone (203) 365-6443.Contact Information
Primary practice address
175 Jefferson St
Fairfield CT 06825-1078
Phone: (203) 365-6443
Fax: (203) 396-1046
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics | 2251G0304X | 0007457 | Connecticut |
Profile Details
| NPI number | 1184921017 |
|---|---|
| LBN Legal business name | Medina, Mabelle Teodoro |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2011 |
| Last updated | Feb 11th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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