Individual
MRS. JANELL TARTAGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PCS
Contact information
Practice address
259 ALBANY TPKE STE 5, CANTON, CT 06019-2557
(203) 788-0009
Mailing address
61 PARK RD, BARKHAMSTED, CT 06063-4119
(203) 788-0009
(860) 777-1067
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009194
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076572
GROUP MEDICARE ID
CT
Enumeration date
09/20/2011
Last updated
10/17/2024
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