Individual
MELISA LEAH RAMOS TEODORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1145 POQUONNOCK RD, GROTON, CT 06340-4620
(860) 446-9960
Mailing address
50 DEPOT RD, GROTON, CT 06340-4733
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008152
CT
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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