Individual
EVAN MENZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
64 MAPLE ST, KENT, CT 06757-1721
(860) 927-4559
(203) 838-9181
Mailing address
16 MAYBROOK RD STE N, CAMPBELL HALL, NY 10916-2741
(845) 636-4344
(845) 636-4355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12798
CT
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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