Individual
DAVID DEGUMBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 LAKE ST, NEW BRITAIN, CT 06052-1396
(860) 224-9422
Mailing address
383 PATTONWOOD DR, SOUTHINGTON, CT 06489-1632
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4266
LICENSE#
CT
Enumeration date
05/16/2007
Last updated
07/08/2007
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