Individual
DAYA CONSTANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
270 FARMINGTON AVE STE 174, FARMINGTON, CT 06032-1909
(860) 677-6067
Mailing address
697 ASH SWAMP RD, GLASTONBURY, CT 06033-3512
(860) 633-5025
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004357
LICENSE #
CT
Enumeration date
08/30/2006
Last updated
07/08/2007
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