Individual
VANESSA MCCONVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 DURHAM RD., MADISON, CT 06443
(203) 751-7182
Mailing address
1110 DURHAM RD., MADISON, CT 06443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008203
CT
Other
Enumeration date
02/14/2019
Last updated
03/22/2023
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