Individual
GERARDO INIGO ADILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
3 S WIG HILL RD, CHESTER, CT 06412-1106
(860) 526-5316
Mailing address
2 BLIVEN ST, GROTON, CT 06340-3502
(860) 446-2830
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007662
CT
Other
Enumeration date
03/26/2009
Last updated
03/26/2009
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