Individual
STACY OLIVEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
312 HAZARD AVE, ENFIELD, CT 06082-4709
(860) 719-3030
Mailing address
312 HAZARD AVE, ENFIELD, CT 06082-4709
(860) 719-3030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011206
CT
225100000X
Physical Therapist
24750
MA
Other
Enumeration date
12/13/2016
Last updated
10/06/2023
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