Provider Demographics
NPI:1891791323
Name:PARE', THOMAS (PT,AT,C)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:
Last Name:PARE'
Suffix:
Gender:M
Credentials:PT,AT,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 E MAIN ST
Mailing Address - Street 2:STE 5
Mailing Address - City:CLINTON
Mailing Address - State:CT
Mailing Address - Zip Code:06413-2245
Mailing Address - Country:US
Mailing Address - Phone:860-664-0366
Mailing Address - Fax:860-669-8206
Practice Address - Street 1:246 E MAIN ST
Practice Address - Street 2:STE 5
Practice Address - City:CLINTON
Practice Address - State:CT
Practice Address - Zip Code:06413-2245
Practice Address - Country:US
Practice Address - Phone:860-664-0366
Practice Address - Fax:860-669-8206
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3248225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT0567426OtherAETNA US HEALTHCARE
CTP1270716OtherOXFORD HEALTH PLAN
CT080003248CT02OtherB/C & B/S
CT2V8213OtherHEALTHNET