Individual
MR. LOUIS SANABRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4 RIDGE RD, BURLINGTON, CT 06013-1413
(203) 233-6418
Mailing address
4 RIDGE RD, BURLINGTON, CT 06013-1413
(203) 233-6418
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001504
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001504
PTA LICENSE
CT
Enumeration date
09/12/2022
Last updated
09/12/2022
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