MICHAEL MONGCOPA VERGARA

GROTON, CT
NPI1164788758
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CT  0007361)
Enumeration Date2012-04-09
Last Update Date2012-04-09
Business Address
Mr. MICHAEL MONGCOPA VERGARA PT
1145 POQUONNOCK RD
GROTON, CT 06340-4620
Phone number: 860-449-0289
Mailing Address
Mr. MICHAEL MONGCOPA VERGARA PT
74 LAURELWOOD RD
GROTON, CT 06340-4206
Phone number: 860-326-5729
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