Individual
MRS. TAMMY P MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
51 E MAIN ST, AVON, CT 06001-3821
(860) 404-2461
Mailing address
109 BOYLSTON ST, NEWINGTON, CT 06111-4301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007103
CT
2255A2300X
Athletic Trainer
000082
CT
Other
Enumeration date
03/15/2007
Last updated
02/21/2011
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