Individual
MRS. NANCY P. ENTWISTLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3909 MAIN ST, BRIDGEPORT, CT 06606-2815
(203) 374-9800
(203) 374-9803
Mailing address
31 OLD ROUTE 7, ATTN: CREDENTIALING DEPT, BROOKFIELD, CT 06804-1714
(203) 740-0020
(203) 775-0238
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002653
CT
Other
Enumeration date
05/23/2006
Last updated
07/08/2007
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