Individual
KARLA TATIANA GUISHARD FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1336 W MAIN ST STE 1B, WATERBURY, CT 06708-3122
(203) 437-7229
(203) 504-7700
Mailing address
PO BOX 1105, ENFIELD, CT 06083-1105
(475) 655-0359
(203) 504-7700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14721
CT
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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