Individual
KRISTEN ROSE DECIANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
972 W MAIN ST, NEW BRITAIN, CT 06053-3487
(860) 872-0745
Mailing address
47 MOUNT VERNON DR APT C, VERNON, CT 06066-6547
(860) 494-9041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
CT
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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