Individual
EMILY MANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2373 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3229
(203) 659-3056
Mailing address
47 N MAIN ST, WEST HARTFORD, CT 06107-1926
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14266
CT
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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