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Individual

CATHE CLOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
360 TOLLAND TPKE STE 2E, EAST POINT BLDG, MANCHESTER, CT 06042-1759
(860) 643-5317
Mailing address
15 PINNACLE RD, ELLINGTON, CT 06029-3512

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000100
LICENSE #
Enumeration date
08/30/2006
Last updated
07/08/2007
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