Individual
ELIZABETH ANGELICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2154 E MAIN ST, WATERBURY, CT 06705-2608
(293) 575-0516
(203) 575-0682
Mailing address
22 TOMPKINS STREET, WATERBURY, CT 06708-1458
(203) 598-0600
(203) 598-3300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
63002074
CT
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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