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Individual

MADHVI VIROJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
52 MISSIONARY RD STE 1, CROMWELL, CT 06416-2143
(860) 754-3033
(860) 635-1497
Mailing address
52 MISSIONARY RD STE 1, CROMWELL, CT 06416-2143
(860) 754-3033
(860) 635-1497

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001959
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001959
DPH
CT
Enumeration date
04/03/2019
Last updated
04/03/2019
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