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Individual

MARILYN MCQUADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1250 SUMMER ST, STAMFORD, CT 06905-5358
(203) 307-4600
Mailing address
3530 POST RD, SOUTHPORT, CT 06890-1169

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5985
LICENSE#
CT
Enumeration date
06/05/2007
Last updated
07/13/2015
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