Individual
MRS. WENDY TATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
850 MIX AVE, HAMDEN, CT 06514
(203) 281-3500
Mailing address
38 EDGEWOOD RD, NORTH BRANFORD, CT 06471
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000555
CT
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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