Individual
ANTONIO TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
64 DANBURY RD, WILTON, CT 06897-4429
(203) 834-3000
Mailing address
64 DANBURY RD, WILTON, CT 06897-4429
(203) 834-3000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000004808
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA0000004808
STATE LICENSURE
TN
Enumeration date
12/03/2013
Last updated
12/03/2013
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