Individual
MARCIA A DONOFRIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
175 STAFFORD RD, MANSFIELD CENTER, CT 06250-1441
(860) 456-8869
(860) 450-1936
Mailing address
175 STAFFORD RD, MANSFIELD CENTER, CT 06250-1441
(860) 456-8869
(860) 450-1936
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001450
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0116301
ORTHONET-HEALTHNET
—
01
—
056002
HEALTH NET
CT
01
—
080001450CT02
BLUE CROSS BLUE SHIELD
CT
01
—
ANC895
OXFORD
CT
Enumeration date
10/24/2007
Last updated
08/15/2013
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