Individual
CHERONE LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3123
(860) 769-6690
Mailing address
81 MANCHESTER ST, HARTFORD, CT 06112-1455
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000836
LICENSE #
CT
Enumeration date
09/27/2006
Last updated
07/08/2007
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