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MS. TARA ANGIE DICHIARO PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1134713332

Individual Registrant:
MS. TARA ANGIE DICHIARO PTA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
113 LABBY RD  NORTH GROSVENORDALE, CT 06255-1247 US
Tel: 860-497-0239  Fax: 860-497-0047

Contact information for business:
113 LABBY RD  NORTH GROSVENORDALE, CT 06255-1247 US
Tel: 860-497-0239  Fax: 860-497-0047

Registration Information:
NPI: 1134713332
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
CT001537

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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