Individual
BRUCE POWSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
595 VALLEY ST, WILLIMANTIC, CT 06226-1901
(860) 450-7060
(860) 450-7070
Mailing address
10 DEPOT RD UNIT 1008, WILLINGTON, CT 06279-1640
(860) 429-4856
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006254
CT
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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