Individual
MARGUERITE GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 HIGH ST, MYSTIC, CT 06355-1707
(860) 536-6067
Mailing address
475 HIGH ST, MYSTIC, CT 06355-1707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004939
CT
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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