Individual
ANTONIO REALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
131 KENT RD, NEW MILFORD, CT 06776-3485
(860) 350-3330
Mailing address
8 ROSE ST UNIT 20-4, DANBURY, CT 06810-5820
(845) 612-3244
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007400
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007400
LICENSE #
CT
Enumeration date
08/30/2006
Last updated
07/08/2007
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