Individual
LINDA M BRUSTOLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
475 HIGH ST, MYSTIC, CT 06355-1707
(860) 536-6070
(860) 536-9480
Mailing address
475 HIGH ST, MYSTIC, CT 06355-1707
(860) 536-6070
(860) 536-9480
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000069
CT
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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