Individual
ETHAN ARESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
550 AVERY HTS, HARTFORD, CT 06106-4272
(860) 953-1201
Mailing address
550 AVERY HTS, HARTFORD, CT 06106-4272
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12851
CT
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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