Individual
MRS. REBECCA JEAN THARALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
80 LAMBERTON RD, WINDSOR, CT 06095
(860) 683-4603
Mailing address
3 ROBERTS ST., WINDSOR LOCKS, CT 06096
(860) 209-0401
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000123
CT
Other
Enumeration date
08/12/2008
Last updated
07/11/2024
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