Individual
MRS. MARY ANN DEGRUTTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
72 SALMON BROOK DR, GLASTONBURY, CT 06033-2131
(860) 633-4452
Mailing address
26 PEASE LN, P.O. BOX 349, SOUTH GLASTONBURY, CT 06073-2015
(860) 659-2243
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
591
CT
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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