Provider Demographics
NPI:1982842134
Name:CONTE, KELLY T (PT)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:T
Last Name:CONTE
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:1389 W. MAIN STREET
Mailing Address - Street 2:SUITE 225
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06708
Mailing Address - Country:US
Mailing Address - Phone:203-271-3288
Mailing Address - Fax:203-591-1936
Practice Address - Street 1:1389 W. MAIN STREET
Practice Address - Street 2:SUITE 225
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708
Practice Address - Country:US
Practice Address - Phone:203-271-3288
Practice Address - Fax:203-591-1936
Is Sole Proprietor?:No
Enumeration Date:2009-01-27
Last Update Date:2023-11-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT0065082251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1114979226OtherGROUP NPI NUMBER