Provider Demographics
NPI:1275638751
Name:KURTZMAN, AUBREY J (MS, ATC, LAT)
Entity Type:Individual
Prefix:MS
First Name:AUBREY
Middle Name:J
Last Name:KURTZMAN
Suffix:
Gender:F
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-4628
Mailing Address - Country:US
Mailing Address - Phone:203-394-1446
Mailing Address - Fax:
Practice Address - Street 1:40 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:CT
Practice Address - Zip Code:06385-2424
Practice Address - Country:US
Practice Address - Phone:860-271-4900
Practice Address - Fax:860-271-4910
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0000392255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer