Individual
DR. EDILIA GUALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
304 FEDERAL RD, SUITE 109, BROOKFIELD, CT 06804-2418
(203) 775-5555
(203) 775-0782
Mailing address
304 FEDERAL RD, SUITE 109, BROOKFIELD, CT 06804-2418
(203) 775-5555
(203) 775-0782
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005928
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080005928CT01
ANTHEM
CT
Enumeration date
09/20/2006
Last updated
06/21/2010
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