Individual
KIRSTEN J PERILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5151 PARK AVE, FAIRFIELD, CT 06825-1023
(203) 396-8181
(203) 396-8137
Mailing address
148 EAST AVE, SUITE 2M, NORWALK, CT 06851-5721
(203) 866-5458
(203) 354-6182
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000433
CT
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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