Individual
MS. KATHRYN MICHAEL FAUGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1171 E PUTNAM AVE, RIVERSIDE, CT 06878-1426
(203) 637-1700
Mailing address
1171 E PUTNAM AVE, RIVERSIDE, CT 06878-1426
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010565
CT
Other
Enumeration date
05/26/2015
Last updated
08/12/2015
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