Individual
MANDY BANISZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 MAIN ST S, SOUTHBURY, CT 06488-4220
(877) 407-3422
(877) 407-4329
Mailing address
7 CARNEGIE PLZ, CHERRY HILL, NJ 08003-1000
(877) 407-3422
(877) 407-3422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12995
CT
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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