Individual
ANNEMIEKE AUSLOOS MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
22 MASONIC AVE, WALLINGFORD, CT 06492-3048
(203) 679-5900
Mailing address
556 UPPER GRASSY HILL RD, WOODBURY, CT 06798-3107
(203) 470-0767
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011923
CT
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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