Individual
MR. JOHN CLARENCE BERIN BAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
999 ORONOQUE LN FL 1, STRATFORD, CT 06614-1379
(203) 870-2022
(203) 386-1144
Mailing address
60 MANSFIELD RD APT 109, NEW LONDON, CT 06320-3179
(571) 447-7066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11723
CT
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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