Individual
MS. MARISA Q VILHENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2909 MAIN ST, STRATFORD, CT 06614-4960
(203) 430-1648
Mailing address
460 PETER RD, SOUTHBURY, CT 06488-4610
(203) 264-0684
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
6282
CT
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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