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1720201932
KEITH S HAVEMEYER
WATERBURY, CT
NPI
1720201932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 004663)
Enumeration Date
2007-04-10
Last Update Date
2020-05-13
Business Address
Mr. KEITH S HAVEMEYER PT, OCS, FAAOMPT
550 CHASE AVE
WATERBURY, CT 06704-1904
Phone number: 860-250-4369
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Mailing Address
Mr. KEITH S HAVEMEYER PT, OCS, FAAOMPT
550 CHASE AVE
WATERBURY, CT 06704-1904
Phone number: 860-250-4369
Copy
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