Individual
MR. STANLEY ABRAHAM JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
HFSC,2150 CORBIN AVE, NEW BRIATIN, CT 06053
(860) 827-1958
(860) 827-4947
Mailing address
9 HARVEST LN, FARMINGTON, CT 06032-3105
(860) 404-2201
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004996
CT
Other
Enumeration date
01/16/2008
Last updated
04/17/2008
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