Individual
DIEGO ERNESTO AGUILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
4200 PARK AVE, BRIDGEPORT, CT 06604-1049
(203) 365-6443
Mailing address
4200 PARK AVE, BRIDGEPORT, CT 06604-1049
(203) 365-6443
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1408
CT
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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