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1144642927
REISA FEDORCHUCK
WATERBURY, CT
NPI
1144642927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT PT2572)
Enumeration Date
2014-01-13
Last Update Date
2014-01-13
Business Address
Mrs. REISA FEDORCHUCK PT
3396 E MAIN ST
WATERBURY, CT 06705-3812
Phone number: 203-754-2161
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Mailing Address
Mrs. REISA FEDORCHUCK PT
3396 E MAIN ST
WATERBURY, CT 06705-3812
Phone number: 203-754-2161
Copy
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