Individual
JOSEPH MABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1211 W MAIN ST, WATERBURY, CT 06708-3106
(203) 753-6043
(203) 574-3127
Mailing address
47 N MAIN ST, WEST HARTFORD, CT 06107-1926
(860) 409-4595
(860) 409-4860
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1697
CT
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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