Mezzomo, Judith Marie
Mezzomo, Judith Marie is an individual health care provider with primary practice located at 14 Sherry Drive , East Hampton CT 06424-1016. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Mezzomo, Judith Marie can be contacted via phone (860) 267-9125.Contact Information
Primary practice address
14 Sherry Drive
East Hampton CT 06424-1016
Phone: (860) 267-9125
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 002663 | Connecticut |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 000010524 | |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 000273 | Connecticut |
Profile Details
NPI number | 1760499479 |
---|---|
LBN Legal business name | Mezzomo, Judith Marie |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 2nd, 2006 |
Last updated | Apr 5th, 2017 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760499479 | NPPES |
Connecticut | Other | 080002663CT02 | BLUE CROSS BLUE SHIELD |
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