Individual
MR. SCOTT FORTUNATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1027 LINDLEY ST, BRIDGEPORT, CT 06606-4725
(203) 372-8471
Mailing address
1027 LINDLEY ST, BRIDGEPORT, CT 06606-4725
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001011
CT
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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