Individual
MARY JETTE LAMALFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
512 SAYBROOK RD, MIDDLETOWN, CT 06457-4788
(830) 343-5997
(860) 343-6042
Mailing address
512 SAYBROOK RD, MIDDLETOWN, CT 06457-4788
(830) 343-5997
(860) 343-6042
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3325
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004111689
—
CT
01
—
080003325CT14
BCBS
CT
01
—
4258766
AETNA
CT
01
—
491670
CIGNA
—
01
—
761899
CONNECTICARE
—
01
—
P4309651
OXFORD
—
Enumeration date
08/03/2006
Last updated
07/29/2011
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