Individual
FRED HAVLICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
46 PRINCE ST, SUITE 402B, NEW HAVEN, CT 06519-1600
(203) 752-7878
(203) 776-4989
Mailing address
46 PRINCE ST, SUITE 402B, NEW HAVEN, CT 06519-1600
(203) 752-7878
(203) 776-4989
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002928
CT
Other
Enumeration date
10/17/2006
Last updated
07/13/2007
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