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Individual

MRS. MARY C GIBBONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
75 GREAT POND RD, SIMSBURY, CT 06070-1980
(860) 658-3745
Mailing address
131 GREAT POND RD, SIMSBURY, CT 06070-1525
(860) 651-7214

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004091
CT

Other

Enumeration date
08/07/2008
Last updated
08/07/2008
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