Individual
MRS. THERESA M CONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
175 JEFFERSON ST, FAIRFIELD, CT 06825-1078
(203) 365-6443
Mailing address
175 JEFFERSON ST, FAIRFIELD, CT 06825-1078
(203) 365-6443
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000108
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060846991
JEWISH HOME FOR THE ELDERLY
CT
Enumeration date
02/11/2011
Last updated
02/11/2011
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