Individual
STEVEN MUSANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2154 E MAIN ST, WATERBURY, CT 06705-2608
(203) 575-0516
(203) 575-0682
Mailing address
22 TOMPKINS ST, WATERBURY, CT 06708-1458
(203) 419-0381
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2116
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004190328
—
CT
Enumeration date
09/14/2020
Last updated
09/14/2020
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