Masonicare
NPI #1104131283 in Wallingford, Connecticut
Provider Information
- NPI Number
- 1104131283
- Entity Type
- Organization
- Organization Name
- Masonicare
- Primary Specialty
- Rehabilitation Hospital
- Enumeration Date
- Aug 12, 2010
- Last Updated
- Aug 12, 2010
Practice Location
- Address
- 22 MASONIC AVE
- Address 2
- REHAB DEPARTMENT
- City
- Wallingford
- State
- Connecticut
- ZIP Code
- 06492-3048
- Phone
- (203) 679-5900
Authorized Official
- Name
- SUSAN FAGAN, OTR/L
- Title
- REHAB DIRECTOR
- Phone
- (203) 679-6247
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Hospital |
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