Individual
MISS DARILYN SACRAMENTO FULLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
44 OLD RIDGEFIELD RD, SUITE 213, WILTON, CT 06897-3055
(877) 407-3422
Mailing address
44 OLD RIDGEFIELD RD, SUITE 213, WILTON, CT 06897-3055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009839
CT
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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