Individual
SAMANTHA KRUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5 LAKE RD, SHELTON, CT 06484-2967
(203) 924-2635
Mailing address
151 ANDREW AVE, APARTMENT #91, NAUGATUCK, CT 06770-4356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009304
CT
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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