Individual
MRS. MARY NEUBELT CARDARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 SOUTH ST, VERNON, CT 06066-4553
(860) 875-0771
Mailing address
74 HORTON RD, MANCHESTER, CT 06042-2870
(860) 646-5856
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004655
CT
2255A2300X
Athletic Trainer
000091
CT
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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