Individual
KATHRYN COSTANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
44 DALE RD, SUITE 203, AVON, CT 06001-4315
(860) 674-1713
(860) 674-1848
Mailing address
270 FARMINGTON AVE, SUITE 303, FARMINGTON, CT 06032-1909
(860) 409-4595
(860) 409-4860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9455
CT
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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