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MARY E. O'HARA P.T.

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

Registrant NPI Number: 1699722645

Individual Registrant:
 MARY E. O'HARA P.T.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
130B GROVE ST  NEW MILFORD, CT 06776-3668 US
Tel: 860-354-7605  Fax: 860-355-0089

Contact information for business:
31 OLD ROUTE 7  BROOKFIELD, CT 06804-1714 US
Tel: 203-740-0020  Fax: 203-775-0238

Registration Information:
NPI: 1699722645
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CT003738

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
004252904CT05
ANTHEM BC080003738CT01




HEALTH CARE JOBS CT - Page 1



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