Most Relevant Information
Provider Data
| NPI Number: | 1003646084 |
| Provider Name: | SHEA FRADY |
| Entity Type: | Individual |
| Taxonomy Code: | 2251X0800X |
| Specialty: | Physical Therapist |
| License Number: | 14533 |
Most Important Dates
| Enumeration Date: | 08/05/2024 |
| Last Updated: | 08/05/2024 |
Provider Practice Location
9 DOG LN STE 108
STORRS
CT
062682239
Practice Location Phone/Fax
| Phone: | 8604290899 |
| Fax: |
Provider Mailing Location
305 STORRS RD
MANSFIELD CENTER
CT
062501216
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |