Individual
KAREN BIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
84 GLASTONBURY BLVD, SUITE 103, GLASTONBURY, CT 06033-4468
(860) 633-6292
(860) 633-6299
Mailing address
84 GLASTONBURY BLVD, SUITE 103, GLASTONBURY, CT 06033-4468
(860) 633-6292
(860) 633-6299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006678
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004213063
—
CT
Enumeration date
09/16/2006
Last updated
11/21/2013
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