Individual
MARYANN TAVOLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
47 OLD OAKWOOD DR, SOUTHBURY, CT 06488-3919
(203) 262-1480
Mailing address
47 OLD OAKWOOD DR, SOUTHBURY, CT 06488-3919
(203) 262-1480
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006904
CT
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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