Individual
SUSAN CAROL CARBINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
226 MILL HILL AVE, BRIDGEPORT, CT 06610-2826
(203) 384-7000
Mailing address
824 KNAPPS HWY, FAIRFIELD, CT 06825-4210
(203) 524-2440
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
001726
CT
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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