Individual
MRS. SUSANA CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6448 MAIN ST, TRUMBULL, CT 06611-2075
(203) 209-8169
Mailing address
6448 MAIN ST, TRUMBULL, CT 06611-2075
(203) 209-8169
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008499
CT
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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