Individual
ROSEANNE PRUNTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
175 JEFFERSON ST, FAIRFIELD, CT 06825-1078
(203) 365-6443
Mailing address
175 JEFFERSON ST, FAIRFIELD, CT 06825
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009124
CT
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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