Provider Demographics
NPI:1508898875
Name:ALBANESE, DANIEL M (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:M
Last Name:ALBANESE
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Gender:M
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:30 PECK RD
Mailing Address - Street 2:TORRINGTON
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-6123
Mailing Address - Country:US
Mailing Address - Phone:860-489-0867
Mailing Address - Fax:860-489-4473
Practice Address - Street 1:30 PECK RD
Practice Address - Street 2:TORRINGTON
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-6123
Practice Address - Country:US
Practice Address - Phone:860-489-0867
Practice Address - Fax:860-489-4473
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2013-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT005983225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT650000624Medicare ID - Type Unspecified