Individual
MS. MARY ELLEN ELIZABETH PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7445
(203) 732-7395
Mailing address
19 FORD RD, ANSONIA, CT 06401-2641
(203) 734-2421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001268
CT
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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