Individual
JANE M ELLWANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 FARM ROAD, NEW CANAAN, CT 06840-6698
(203) 594-5200
(203) 594-5412
Mailing address
3 FARM ROAD, NEW CANAAN, CT 06840-6698
(203) 594-5200
(203) 594-5412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001919
CT
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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