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Individual

WANDA R SILVESTRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1132 MERIDEN RD, WATERBURY, CT 06705-3629
(203) 757-1228
Mailing address
43 BARSALOU AVE, WATERBURY, CT 06705-3516
(203) 754-7483

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000522
CT

Other

Enumeration date
11/15/2012
Last updated
11/15/2012
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