Organization
STAYHOMEPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE M MAHONEY MS, PT (OWNER)
(860) 916-7916
Entity
Organization
Contact information
Practice address
827 MAIN ST, SOUTH GLASTONBURY, CT 06073-2217
(860) 916-7916
Mailing address
827 MAIN ST, SOUTH GLASTONBURY, CT 06073-2217
(860) 916-7916
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005057
CT
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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