Individual
DR. MEGAN LEIGH POLETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
(203) 337-2600
Mailing address
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
(203) 337-2600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15055
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0799335
—
MA
01
—
D400169572
MEDICARE
CT
Enumeration date
07/13/2005
Last updated
01/19/2018
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