Individual
IRENE STANKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 MERIDEN AVE, SOUTHINGTON, CT 06489-3214
(860) 378-1234
(860) 378-1160
Mailing address
93 COOK RD, PROSPECT, CT 06712-1807
(203) 758-3520
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000536
CT
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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