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1912507898
JACQUELINE MARIE CARRERA
BLOOMFIELD, CT
NPI
1912507898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CT 002058)
Enumeration Date
2020-10-29
Last Update Date
2020-10-29
Business Address
JACQUELINE MARIE CARRERA PTA
10 LOEFFLER RD
BLOOMFIELD, CT 06002-2256
Phone number: 860-729-2413
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Mailing Address
JACQUELINE MARIE CARRERA PTA
PO BOX 593
WINDSOR LOCKS, CT 06096-0593
Phone number: 508-615-1113
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