Individual
DANIEL PERILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
135 BARRISTER RD, STRATFORD, CT 06614-8930
(203) 545-7128
Mailing address
135 BARRISTER RD, STRATFORD, CT 06614-8930
(203) 545-7128
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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