Individual
ANGELO MANDRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 MASONIC AVE, WALLINGFORD, CT 06492-3048
(203) 679-6247
Mailing address
22 MASONIC AVE, WALLINGFORD, CT 06492-3048
(203) 679-6247
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001608
CT
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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