Individual
MARIA GAVLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6900 MAIN ST, M/S S515A, STRATFORD, CT 06614-1378
(203) 386-3422
Mailing address
6900 MAIN ST, M/S S515A, STRATFORD, CT 06614-1378
(203) 386-3422
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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