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Individual

PETER N VISGILIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
435 HARTFORD TPKE, VERNON, CT 06066-4852
(860) 870-8272
(860) 875-0804
Mailing address
435 HARTFORD TPKE, SUITE U, VERNON, CT 06066-4852
(860) 979-1611
(203) 866-3014

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003346
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003346
CT LICENSE
CT
Enumeration date
08/11/2010
Last updated
01/28/2016
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