Individual
MARIAH TUTHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9 ELMWOOD CT, NEWINGTON, CT 06111-1401
(860) 953-1204
Mailing address
18 RUSSETT LN, MIDDLETOWN, CT 06457-5803
(860) 208-8064
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
63.001907
CT
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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