Individual
MARY FRANGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
27 GOVERNOR ST, RIDGEFIELD, CT 06877-4657
(203) 438-5555
(203) 431-6533
Mailing address
27 GOVERNOR ST, RIDGEFIELD, CT 06877-4657
(203) 438-5555
(203) 431-6533
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6723
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D100263001
MEDICARE GROUP PTAN
CT
Enumeration date
10/18/2016
Last updated
10/18/2016
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