Individual
SUBHASH BAKANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
308 SAVIN AVE, WEST HAVEN, CT 06516-5805
(203) 932-6411
Mailing address
308 SAVIN AVE, WEST HAVEN, CT 06516-5805
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005122
CT
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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