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Individual

DIANA MARROQUIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
35 BUNKER HILL RD, WATERTOWN, CT 06795-3304
(860) 274-5428
Mailing address
982 S MAIN ST, APT. 2, PLANTSVILLE, CT 06479-1645
(914) 443-5484

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009077
CT
225100000X
Physical Therapist
022558
NY

Other

Enumeration date
01/16/2008
Last updated
09/27/2011
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