Individual
THEODORE R RACZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
46 PRINCE ST, SUITE 402, NEW HAVEN, CT 06519-1600
(203) 752-7878
(203) 776-4989
Mailing address
47 N MAIN ST, WEST HARTFORD, CT 06107-1926
(860) 409-4595
(860) 409-4860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11017
CT
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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