Provider Demographics
NPI:1770622250
Name:CAMPBELL, KATE LYNN (DPT)
Entity type:Individual
Prefix:DR
First Name:KATE
Middle Name:LYNN
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20 RITA RD
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-2238
Mailing Address - Country:US
Mailing Address - Phone:203-431-1493
Mailing Address - Fax:
Practice Address - Street 1:96 ROUTE 37
Practice Address - Street 2:
Practice Address - City:NEW FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06812
Practice Address - Country:US
Practice Address - Phone:203-312-0211
Practice Address - Fax:203-312-0201
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2014-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist