Individual
MR. DALE L SWEET JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
10 MARINE ST, THOMASTON, CT 06787-1470
(860) 283-2316
(860) 283-6079
Mailing address
10 MARINE ST, THOMASTON, CT 06787-1470
(860) 283-2316
(860) 283-6079
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004190758
—
CT
01
—
6109
LICENSE
CT
01
—
ANTHEM BC/BS
PROVIDER ID NUMBER
CT
Enumeration date
01/19/2006
Last updated
11/03/2023
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