Healthcare Provider Details

I. General information

NPI: 1922209147
Provider Name (Legal Business Name): KAREN CONSTANTINE P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 10/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 HOSPITAL AVENUE
DANBURY CT
06810-6007
US

IV. Provider business mailing address

33 HOSPITAL AVENUE
DANBURY CT
06810-6007
US

V. Phone/Fax

Practice location:
  • Phone: 203-792-5558
  • Fax: 203-791-3213
Mailing address:
  • Phone: 203-792-5558
  • Fax: 203-791-3213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number005952
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: