Individual
KENNETH CABATINGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
705 NEW BRITAIN AVE, HARTFORD, CT 06106-4039
(860) 527-9126
(860) 241-0567
Mailing address
705 NEW BRITAIN AVE, HARTFORD, CT 06106-4039
(860) 527-9126
(860) 241-0567
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0007805
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007805
STATE OF CT PT LICENSE
CT
Enumeration date
07/18/2013
Last updated
07/18/2013
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