Individual
MRS. MARLENE DEBORAH MUMFORD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
4 BERKSHIRE BLVD, BETHEL, CT 06801-1001
(203) 826-3138
(203) 775-6810
Mailing address
20 PHEASANT LANE, NEW MILFORD, CT 06776-5234
(860) 355-3200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001242
CT
Other
Enumeration date
04/06/2006
Last updated
07/08/2007
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