Individual
HENRY BALAVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
44 DALE RD, SUITE 203, AVON, CT 06001-3612
(860) 674-1713
(860) 674-1848
Mailing address
27 DEPOT ST, WATERTOWN, CT 06795-2601
(860) 274-4092
(860) 274-4099
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1676
CT
Other
Enumeration date
10/26/2006
Last updated
10/26/2007
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