Individual
KATHRYN BELLAVANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
225 KENNEDY DR, PUTNAM, CT 06260-1662
(860) 315-9009
Mailing address
225 KENNEDY DR, PUTNAM, CT 06260-1662
(860) 315-9009
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002031
CT
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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