Individual
HUAN FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
886 BRIDGEPORT AVE, SHELTON, CT 06484-4625
(203) 445-6068
Mailing address
47 N MAIN ST, WEST HARTFORD, CT 06107-1926
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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