Individual
SHANA VIRTUDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
64 MARKET SQ, NEWINGTON, CT 06111-2911
(860) 881-2928
Mailing address
47 N MAIN ST, WEST HARTFORD, CT 06107-1926
(860) 409-4595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14598
CT
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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