Individual
CAROL HAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
115 SPENCER ST, WINSTED, CT 06098
(860) 559-0747
(860) 738-9395
Mailing address
155 E WAKEFIELD BLVD, WINSTED, CT 06098-2976
(860) 559-0747
(860) 238-7787
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
2305208613
VA
2251X0800X
Orthopedic Physical Therapist
Primary
005714
CT
2251X0800X
Orthopedic Physical Therapist
11050
MA
2251X0800X
Orthopedic Physical Therapist
2305208613
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080005714
BCBS PROVIDER ID
CT
01
—
Y67757
BCBS PROVIDER ID
MA
Enumeration date
04/09/2006
Last updated
06/20/2018
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