Individual
GINA L DONATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
51 SHERMAN HILL RD STE A201, WOODBURY, CT 06798-3694
(203) 263-3104
(203) 263-4050
Mailing address
96 AUGUSTA ST, OAKVILLE, CT 06779-1022
(860) 945-3224
(203) 263-4050
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
003690
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003690
PHYSICAL THERAPY LICENSE
CT
Enumeration date
04/12/2007
Last updated
07/08/2007
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