Individual
MISS IRENE SERNADILLA GALLEVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
226 MILL HILL AVE, BRIDGEPORT, CT 06610-2826
(203) 336-7338
(203) 366-7114
Mailing address
455 N SUMMERFIELD AVE, APARTMENT B1, BRIDGEPORT, CT 06610-2537
(203) 873-1853
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8102
CT
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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