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JOAN B. MULLANEY R.P.T

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

Registrant NPI Number: 1538221411

Individual Registrant:
 JOAN B. MULLANEY R.P.T
Gender: F
Not Sole Proprietor

Location and contact information for practice:
384 MERROW RD STE B  TOLLAND, CT 06084-3971 US
Tel: 860-875-4816  Fax: 860-875-2053

Contact information for business:
38 STONEHEDGE DR  TOLLAND, CT 06084-2328 US
Tel: 860-875-8998  Fax: --

Registration Information:
NPI: 1538221411
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CT003038

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
AETNA GROUP NUMBER552280CT01
BLUE CROSS PROVIDER NUMBE080003038CT01CT01
OXFORD GROUP NUMBERA685551CT01
HEALTHNET GROUP NUMBEROV1704CT01




HEALTH CARE JOBS CT - Page 1



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