Individual
MARGARET M MOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
23 LIBERTY WAY, NIANTIC, CT 06357-1030
(860) 739-4007
Mailing address
23 LIBERTY WAY, NIANTIC, CT 06357-1030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004814
CT
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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