DAVID J POTUCEK PT

THERESA HASSELROT PHYSICAL THERAPY LLC

Dr DAVID J POTUCEK PT is a male medical professional, specializing in Physical Therapy. He graduated in 2005.

Contact

THERESA HASSELROT PHYSICAL THERAPY LLC

30 VITTI ST
NEW CANAAN
CT
068404823

Tel: 2035947771

DAVID J POTUCEK PT Information

Npi 1720168545
Pac Id 8527094911
Professional Enrollment Id I20050718000336
Last Name POTUCEK
First Name DAVID
Middle Name J
Suffix
Gender M
Credential PT
Medical School Name OTHER
Graduation Year 2005
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name THERESA HASSELROT PHYSICAL THERAPY LLC
Group Practice Pac Id 7214051200
Number Of Group Practice Members 3
Line 1 Street Address 30 VITTI ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City NEW CANAAN
State CT
Zip Code 068404823
Phone Number 2035947771
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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