Individual
CRAIG EMIL ULLRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
555 BRIDGEPORT AVE, SHELTON, CT 06484-4749
(203) 922-1773
Mailing address
1931 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3506
(203) 384-8681
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008586
CT
Other
Enumeration date
08/26/2009
Last updated
05/30/2013
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