Individual
KETAN SADARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
745 MAIN ST, EAST HARTFORD, CT 06108-3115
(860) 289-2791
Mailing address
3 LAFOUNTAIN RD, SUFFIELD, CT 06078-2252
(860) 623-6527
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
006929
CT
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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