Provider Demographics
NPI:1619241676
Name:MOUSER, MARIA-ELENA ELENA (PTA)
Entity Type:Individual
Prefix:MRS
First Name:MARIA-ELENA
Middle Name:ELENA
Last Name:MOUSER
Suffix:
Gender:F
Credentials:PTA
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Mailing Address - Street 1:136 WEST MAIN STREET
Mailing Address - Street 2:CORA
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052-1315
Mailing Address - Country:US
Mailing Address - Phone:860-801-6171
Mailing Address - Fax:860-826-4762
Practice Address - Street 1:100 WELLS STREET SUITE 1B
Practice Address - Street 2:CONNECTICUT ORTHOPEDIC REHABILITATION ASSOCIATES
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06103
Practice Address - Country:US
Practice Address - Phone:860-525-2672
Practice Address - Fax:860-727-0897
Is Sole Proprietor?:No
Enumeration Date:2012-03-08
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT0011932251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic