Individual
ASHLEIGH PERSICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 MAPLE ST, SEYMOUR, CT 06483-3638
(203) 584-1213
Mailing address
130 MAPLE ST, SEYMOUR, CT 06483-3638
(203) 584-1213
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
123456
CT
Other
Enumeration date
10/18/2020
Last updated
10/18/2020
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