Individual
ELIZABETH J MANENTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
400 N MAIN ST, BRISTOL, CT 06010-4923
(860) 584-3400
Mailing address
155 REDSTONE HILL RD APT 63, BRISTOL, CT 06010-7784
(860) 866-6039
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0009480
CT
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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