Individual
MS. BETTY JOSEPH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
705 BLOOMFIELD AVE, STE 101, BLOOMFIELD, CT 06002
(860) 242-8427
(860) 242-4147
Mailing address
93 COLUMBIA RD, WINDSOR, CT 06095
(860) 242-7973
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CT3540
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080003540CT06
ANTHEM BC/BS
CT
Enumeration date
04/27/2006
Last updated
07/08/2007
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