Individual
MRS. MARYANN MANCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
465 WOLCOTT RD, ADVANCED PHYSICAL THERAPY, WOLCOTT, CT 06716-2613
(203) 879-0107
(203) 879-0206
Mailing address
125 LOOP RD, WATERTOWN, CT 06795-1561
(609) 618-1800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008923
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008923
STATE LICENSE
CT
Enumeration date
03/12/2010
Last updated
09/27/2016
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