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Individual

MS. MARLENE B AULTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OWNER

Contact information

Practice address
46 KING HILL RD, POST OFFICE BOX 694, STORRS, CT 06268-1759
(860) 429-8106
Mailing address
46 KING HILL RD, POST OFFICE BOX 694, STORRS, CT 06268-1759
(860) 429-8106

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary

Other

Enumeration date
03/16/2013
Last updated
04/19/2013
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