Individual
DANA EARLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
18 S CENTER ST, SOUTHINGTON, CT 06489-3121
(860) 621-5054
Mailing address
47 N MAIN ST, WEST HARTFORD, CT 06107-1926
(860) 409-4595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12420
CT
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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