Individual
THEODORA ANN BARENHOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT, MS, RYT
Contact information
Practice address
325 REEF RD, SUITE 209, FAIRFIELD, CT 06824-6537
(203) 400-1363
Mailing address
67 WATERVILLE RD, SOUTHPORT, CT 06890-1056
(203) 254-1311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003703
CT
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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