Individual
MR. PAUL ANTHONY PISANO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
18 S CENTER ST, SOUTHINGTON, CT 06489-3121
(860) 621-5054
Mailing address
18 S CENTER ST, SOUTHINGTON, CT 06489-3121
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007769
CT
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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