Individual
MRS. SUSAN DELAURENTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1775 BOSTON POST RD, OLD SAYBROOK, CT 06475-1643
(860) 399-6216
Mailing address
251 SUMMER HILL RD, MADISON, CT 06443-1850
(203) 421-3490
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001303
CT
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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