Individual
DENISE PANTASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9B FIELDSTONE CMNS, TOLLAND, CT 06084-3421
(860) 870-9800
(860) 870-9804
Mailing address
12 MAIN ST, SUITE 2, ELLINGTON, CT 06029-3339
(860) 979-1600
(203) 866-3014
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001121
CT
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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