Individual
JONATHAN MANEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
598 DEMING RD, BERLIN, CT 06037-1659
(203) 601-7446
Mailing address
109 PONDVIEW DR, SOUTHINGTON, CT 06489-3948
(203) 601-7446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012339
CT
2251S0007X
Sports Physical Therapist
12339
CT
Other
Enumeration date
12/28/2021
Last updated
07/27/2022
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