Judith Frayda Abraham, P.T.
Individual provider Active NPI Physical Therapist · Canton, CT
NPI 1609088681 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609088681
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 002067 (CT)
- Practice address
- 19 Pond Rd
Canton, CT 06019-2624 - Phone
- (860) 693-0606
- Fax
- (860) 693-2475
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 002067 | CT | Yes |
Addresses
Primary practice location
19 Pond Rd
Canton, CT 06019-2624
Mailing address
19 Pond Rd
Canton, CT 06019-2624
Phone (860) 693-0606
Other providers in Canton, CT
- A New Path Counseling, LLC
- Richard I Abraham
- Nicholas D Albert
- Glen Angers
- Jenna Mimi Atlas
- Hunter Bahre
All providers in Canton, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.