Individual
GARY P AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5151 PARK AVE, FAIRFIELD, CT 06825-1023
(203) 396-8181
(203) 396-8137
Mailing address
12 MAIN ST, SUITE 2, ELLINGTON, CT 06029-3339
(860) 979-1600
(203) 866-3014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003804
CT
Other
Enumeration date
12/18/2006
Last updated
06/13/2011
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