Individual
MRS. PATRICIA G FUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1449 OLD WATERBURY RD, SUITE 104, SOUTHBURY, CT 06488-3926
(203) 262-9909
(203) 262-9911
Mailing address
245 COBBLER LN, SOUTHBURY, CT 06488-2686
(203) 262-8266
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
005027
CT
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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