Individual
DANIEL A HENCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
100 DEERFIELD ROAD, WINDSOR, CT 06095
(860) 714-9435
(860) 714-8900
Mailing address
94 DOUGLAS RD, GLASTONBURY, CT 06033-2220
(860) 657-2603
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006924
LICENSE #
CT
Enumeration date
08/27/2006
Last updated
07/08/2007
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