Individual
CARLO SANDICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
765 FAIRFIELD AVE, BRIDGEPORT, CT 06604-3702
(860) 736-7657
Mailing address
612 COREY LN, CHAMPAIGN, IL 61822-1047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12588
CT
Other
Enumeration date
06/21/2017
Last updated
06/27/2022
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