Individual
MR. MURTAZA A AWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1060 MAIN ST, SOUTH WINDSOR, CT 06074-2407
(860) 289-7771
Mailing address
25 ALDERSON AVE, PLAINVILLE, CT 06062-3119
(860) 289-7771
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000018
CT
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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