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1053799205
CAROL DAVIDSON FORTIN
WALLINGFORD, CT
NPI
1053799205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: CT 001688)
Enumeration Date
2015-05-08
Last Update Date
2015-05-08
Business Address
Mrs. CAROL DAVIDSON FORTIN PT
22 MASONIC AVE
WALLINGFORD, CT 06492-3048
Phone number: 203-679-5959
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Mailing Address
Mrs. CAROL DAVIDSON FORTIN PT
22 MASONIC AVE
WALLINGFORD, CT 06492-3048
Phone number: 203-679-5959
Copy
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