Individual
MS. MARI-ANN PRONOVOST
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
500 CHASE PKWY, WATERBURY, CT 06708-3346
(203) 754-2266
(203) 591-8680
Mailing address
31 OLD ROUTE 7, BROOKFIELD, CT 06804-1714
(203) 740-0020
(203) 775-0238
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001963
CT
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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