Individual
MISS BIANCA CANTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
180 WESTMINSTER RD, CANTERBURY, CT 06331-1431
(860) 556-9395
(860) 556-9396
Mailing address
PO BOX 483, CANTERBURY, CT 06331-0483
(860) 556-9395
(860) 556-9396
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009736
CT
225100000X
Physical Therapist
3985
NH
Other
Enumeration date
06/15/2015
Last updated
08/04/2016
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