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Individual

SAUDI RIO BAGUIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
500 CHASE PKWY, WATERBURY, CT 06708-3346
(203) 754-2266
(203) 591-8680
Mailing address
31 OLD ROUTE 7, ATTN CREDENTIALING DEPT, BROOKFIELD, CT 06804-1714
(203) 740-0020
(203) 775-0238

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008432
CT

Other

Enumeration date
11/25/2008
Last updated
11/25/2008
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