Cristina M Colon-Semenza, MPT

Individual provider Active NPI Physical Therapist · Storrs, CT

NPI 1710072228 · NPPES record last updated Mar 23, 2009

Key facts

NPI
1710072228
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
006865 (CT)
Practice address
843 Bolton Road
U-1249
Storrs, CT 06269-1249
Phone
(860) 486-8618
Fax
(860) 486-8617
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
006865CTMDOrthodontics and Dentofacial Orthopedic Dentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006865 CT Yes

Addresses

Primary practice location

843 Bolton Road
U-1249
Storrs, CT 06269-1249

Mailing address

64 Woods Rd
Mansfield, CT 06250
Phone (860) 456-1580

Other providers in Storrs, CT

All providers in Storrs, CT · Physical Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.