Individual
MARY SUE AGOSTINI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
158 SOUTH BROAD STREET, DYNAMIC PHYSICAL THERAPY LLC, PAWCATUCK, CT 06379
(860) 599-0819
(860) 599-0871
Mailing address
158 SOUTH BROAD STREET, DYNAMIC PHYSICAL THERAPY LLC, PAWCATUCK, CT 06379
(860) 599-0819
(860) 599-0871
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004064
CT
Other
Enumeration date
04/01/2006
Last updated
07/08/2007
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