ALAN BALAVENDER

WATERTOWN, CT
NPI1174605810
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CT  3638)
Enumeration Date2006-10-20
Last Update Date2007-10-26
Business Address
ALAN BALAVENDER MS PT
27 DEPOT ST
WATERTOWN, CT 06795-2601
Phone number: 860-274-4092
Mailing Address
ALAN BALAVENDER MS PT
27 DEPOT ST
WATERTOWN, CT 06795-2601
Phone number: 860-274-4092