NPI 1013590199

Mandy Baniszewski

Practitioner Physical Therapist Southbury, CT

Practice location

Address: 655 Main St S, Southbury, CT 06488-4220
Phone: (877) 407-3422
Fax: (877) 407-4329
Mailing address: 7 Carnegie Plz, Cherry Hill, NJ 08003-1000

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 12995 (CT)

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Registry record

NPI: 1013590199
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 May 2021
Record last updated: 5 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.