Individual
MARIA PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
181 PATRICIA M GENOVA DR, NEWINGTON, CT 06111-1500
(860) 696-2550
Mailing address
181 PATRICIA M GENOVA DR, NEWINGTON, CT 06111-1500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006206
CT
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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