Individual
KEVIN ANTHONY DELLAVECCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
360 TOLLAND TPKE STE 2E, MANCHESTER, CT 06042-1759
(860) 643-5317
Mailing address
60 DIAMOND AVE, PLAINVILLE, CT 06062-2904
(860) 995-1744
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12876
CT
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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