Individual
MATTHEW BARONOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
44 DALE RD, AVON, CT 06001-4315
(860) 674-1713
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
12375
CT
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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