Active NPIIndividual provider

Paul K Canavan, PT

Specialist in Storrs Mansfield, Connecticut

NPI Number1871757740
Practice location
14 Dog Ln, Storrs Mansfield, CT 06269-9033
Fax
—
Last updated
July 10, 2008

Paul K. Canavan is a Specialist based in Storrs Mansfield, CT. Paul K. Canavan practices in Storrs Mansfield, CT and has the professional credentials of PT. The NPI Number for Paul K. Canavan is 1871757740 and holds a License No. 4532 (CT). The current practice location address for Paul K. Canavan is 14 Dog Ln, Storrs Mansfield, CT 06269-9033 and can be reached out via phone at 860-486-8615.

Provider Profile Details

NPI Number
1871757740
Provider Name
Paul K. Canavan
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
14 Dog Ln, Storrs Mansfield, CT 06269-9033
Phone Number
860-486-8615
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
July 10, 2008
Last Update Date
July 10, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Dog Ln
Storrs Mansfield, CT 06269-9033
Zip
06269-9033
Phone Number
860-486-8615
Storrs Mansfield, CT 06269Get directions →

Provider Business Mailing Address Details

Address
82 Kidder Brook RD
Ashford, CT 06278-1014
City
Ashford
State
CT
Zip
06278-1014

License Information

License Number
4532
License State
CT
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Paul K Canavan, PT?

The NPI number of Paul K Canavan, PT is 1871757740. It was assigned on July 10, 2008 and is currently active in the NPPES registry.

What is the specialty of Paul K Canavan, PT?

Paul K Canavan, PT is registered under the primary taxonomy Specialist (code 174400000X), licensed in CT under license number 4532.

Where does Paul K Canavan, PT practice?

The practice location is 14 Dog Ln, Storrs Mansfield, CT 06269-9033. The office can be reached at 860-486-8615 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871757740 directly on the NPPES registry website.

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