Individual
LOUANN MUSTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6142 STATE HIGHWAY 12, NORWICH, NY 13815-3536
(607) 337-4227
Mailing address
220 GRAYSON DR, NORWICH, NY 13815-3387
(607) 336-4037
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
007923-1
NY
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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