Individual
MRS. KIM STACY WILSON-GERARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
53 OLD KINGS HWY N STE 103, DARIEN, CT 06820-4735
(203) 656-2229
Mailing address
2 INWOOD RD, NORWALK, CT 06850-1027
(203) 847-8579
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005800
CT
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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