Individual
JEANNIE FRANCES LARIOSA VILLAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT, DPT
Contact information
Practice address
652 W AVON RD, AVON, CT 06001-2906
(860) 673-2521
Mailing address
1175 FARMINGTON AVE, APT 2-403, BRISTOL, CT 06010-4730
(860) 518-4623
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008125
CT
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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