Individual
RENA MULLER MANTEGAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13 PARK LAWN DR, BETHEL, CT 06801-1043
(203) 830-4180
(203) 797-2995
Mailing address
38 MADELINE DR, RIDGEFIELD, CT 06877-2209
(203) 438-0343
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003292
CT
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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