Healthcare Provider Details

I. General information

NPI: 1023004926
Provider Name (Legal Business Name): KARIN WILLIAMS LABANCA PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS KARIN MICHELLE WILLIAMS

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 MOUNT PLEASANT RD
NEWTOWN CT
06470-1438
US

IV. Provider business mailing address

33 PAUGUSSETT RD SUITE B
SANDY HOOK CT
06482-1503
US

V. Phone/Fax

Practice location:
  • Phone: 203-270-2977
  • Fax: 203-841-1245
Mailing address:
  • Phone: 203-947-2849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number014584-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number006688
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: