Individual
BETHANY AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7 PARK AVE, COLCHESTER, CT 06415-1128
(860) 531-3222
Mailing address
9 MAYFAIR DR, WATERFORD, CT 06385-3831
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009494
CT
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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