Individual
MAUREEN CONNORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34 DALE RD STE 203, AVON, CT 06001-3659
(860) 678-8655
Mailing address
PO BOX 119, 24 WICKETT ST, PINE MEADOW, CT 06061-0119
(860) 379-9476
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000711
LICENSE #
CT
Enumeration date
08/30/2006
Last updated
07/08/2007
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