Individual
MRS. CHRISTINA KOUKOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 TOMPKINS ST, WATERBURY, CT 06708-1417
(203) 419-0381
(203) 419-0389
Mailing address
190 GREAT HOLLOW RD, WOODBURY, CT 06798-3312
(203) 263-7149
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005878
CT
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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