Individual
ANGELA LAPORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
71 MELCON DR, SOUTHINGTON, CT 06489-1744
(860) 681-5495
Mailing address
71 MELCON DR, SOUTHINGTON, CT 06489-1744
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2005
CT
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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