Provider Demographics
NPI:1982736765
Name:GARNER, APRIL VERDEAL (MSPT)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:VERDEAL
Last Name:GARNER
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 JONES HOLLOW RD STE 7
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:CT
Mailing Address - Zip Code:06447-1448
Mailing Address - Country:US
Mailing Address - Phone:860-295-8188
Mailing Address - Fax:860-295-8976
Practice Address - Street 1:14 JONES HOLLOW RD STE 7
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:CT
Practice Address - Zip Code:06447-1448
Practice Address - Country:US
Practice Address - Phone:860-295-8188
Practice Address - Fax:860-295-8976
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT007960225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT080007960CT06OtherANTHEM BCBS