Provider Demographics
NPI:1528353976
Name:FERRON, ANN MARIE (DPT)
Entity type:Individual
Prefix:
First Name:ANN MARIE
Middle Name:
Last Name:FERRON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ANN MARIE
Other - Middle Name:
Other - Last Name:DIFRANCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:150 WARE RD
Mailing Address - Street 2:
Mailing Address - City:DAYVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06241-1126
Mailing Address - Country:US
Mailing Address - Phone:860-774-8574
Mailing Address - Fax:
Practice Address - Street 1:150 WARE RD
Practice Address - Street 2:
Practice Address - City:DAYVILLE
Practice Address - State:CT
Practice Address - Zip Code:06241-1126
Practice Address - Country:US
Practice Address - Phone:860-774-8574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-14
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT009094225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist