Individual
MICHAEL GANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
35 NOD RD, 102, AVON, CT 06001-3826
(860) 677-0739
(860) 677-1029
Mailing address
47 N MAIN ST, WEST HARTFORD, CT 06107-1926
(860) 409-4595
(860) 409-4860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007908
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004262317
—
CT
Enumeration date
08/13/2006
Last updated
11/18/2017
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