Individual
MRS. MARYBETH HAFELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
209 CHERRY ST, MILFORD, CT 06460-3501
(203) 874-5437
Mailing address
87 PLASKON DR, SHELTON, CT 06484-4325
(203) 564-4960
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000239
CT
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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