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1770951956
ILICIA MATHIS
HAMDEN, CT
NPI
1770951956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 010594)
Enumeration Date
2015-09-04
Last Update Date
2015-09-04
Business Address
-- ILICIA MATHIS DPT
2285 WHITNEY AVE
HAMDEN, CT 06518-3514
Phone number: 203-691-6248
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Mailing Address
-- ILICIA MATHIS DPT
1 BRADLEY RD STE 801
WOODBRIDGE, CT 06525-2296
Phone number: 203-389-4593
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