Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 6213 | CT |
NPI | 1043789738 |
---|---|
Provider Name | Steven C Hutt |
First Address | West Babylon, NY 11704-8307 |
Second Address | South Windsor, CT 06074-3759 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2018 |
Last Update Date | 25/11/2018 |