Individual provider · Type 1 NPI
Paul K. Canavan, P.T.
Specialist · Storrs Mansfield, CT
NPI number
1871757740
Active
Practice location
14 Dog Ln
Storrs Mansfield, CT 06269-9033
Mailing address
82 Kidder Brook Rd
Ashford, CT 06278-1014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 4532 (CT) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 other providers at this address
About NPI 1871757740
Paul K. Canavan, P.T.'s National Provider Identifier is 1871757740, issued on Jul 10, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Storrs Mansfield, CT. The record was last updated on Jul 10, 2008.