Individual
ILICIA MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2285 WHITNEY AVE, HAMDEN, CT 06518-3514
(203) 691-6248
(203) 691-9239
Mailing address
1 BRADLEY RD STE 801, WOODBRIDGE, CT 06525-2296
(203) 389-4593
(203) 389-4609
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010594
CT
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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