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REBECCA MCHENRY PASSANTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
385 CHURCH ST, GUILFORD, CT 06437-2003
(203) 453-2844
(203) 453-8772
Mailing address
27 DEPOT ST, WATERTOWN, CT 06795-2601
(860) 274-4092
(860) 274-4099

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5105
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080005105CT21
ANTHEM BC BS
CT
01
080005105CT24
ANTHEM BC BS
CT
01
080005105CT25
ANTHEM BC BS
CT
Enumeration date
10/31/2006
Last updated
01/11/2008
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