Individual
AUSTIN BRONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 N PLAINS INDUSTRIAL RD, WALLINGFORD, CT 06492-2360
(203) 265-0018
(203) 264-0199
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12062
CT
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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