Individual
MRS. DANELLE ELIZABETH MAGNIFICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
29 BEACON STREET, NORWALK, CT 06851
(203) 866-3322
Mailing address
29 BEACON ST, NORWALK, CT 06851-5802
(203) 866-3322
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000247
CT
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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