Individual
GINNISE ARLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48 CAPITOL AVE, #2R, HARTFORD, CT 06106-9402
(860) 985-8608
Mailing address
430 NEW PARK AVE STE 102, WEST HARTFORD, CT 06110-1142
(860) 985-8608
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
CT
335E00000X
Prosthetic/Orthotic Supplier
Primary
1196158
CT
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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