Individual
AMY KATHERINE RAQUEPAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
263 FARMINGTON AVE, ORTHOPAEDICS, FARMINGTON, CT 06030-0001
(860) 679-6600
(860) 679-6604
Mailing address
138 PARKVIEW DR, AVON, CT 06001-3453
(860) 930-2615
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2416
CT
363A00000X
Physician Assistant
Primary
8144214-1206
UT
Other
Enumeration date
07/01/2010
Last updated
12/11/2012
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