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AMIE MADRU RPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1972712107

Individual Registrant:
 AMIE  MADRU RPT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
245 LONG HILL ROAD  MIDDLETWON, CT 06457 US
Tel: 860-344-3803  Fax: --

Contact information for business:
47 STEELE FARM DR  MANCHESTER, CT 06042-8548 US
Tel: 860-432-9515  Fax: --

Registration Information:
NPI: 1972712107
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CT006577

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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