Individual
ZACHARIAS MUNDAKKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 GROVE ST, WATERBURY, CT 06710-2202
(888) 873-4221
Mailing address
145 GROVE ST, WATERBURY, CT 06710-2202
(888) 873-4221
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1016
CT
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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