Individual
MISS ALICIA A MANICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1 EMERSON DR, WINDSOR, CT 06095-3204
(186) 068-8643
(186) 068-8749
Mailing address
1 EMERSON DR, WINDSOR, CT 06095-3204
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001286
CT
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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