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Individual

LAURIE G MOZIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPIST

Contact information

Practice address
45 MERIDEN AVE, SOUTHINGTON, CT 06489-3214
(860) 378-1234
(860) 378-1160
Mailing address
100 PAUL TER, SOUTHINGTON, CT 06489-4127

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003130
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080003130CT02
BLUE CARE HEALTH INS.
CT
01
11243725
CAQH
CT
Enumeration date
03/16/2007
Last updated
07/08/2007
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