Individual
SALLY PETRUZZELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
210 MAIN ST, OLD SAYBROOK, CT 06475-2333
(186) 039-5530
(186) 039-5570
Mailing address
PO BOX 255, OLD LYME, CT 06371-0255
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000435
CT
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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