Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY SUE AGOSTINI, PT
ActiveMARY SUE AGOSTINI, PT is a Physical Therapy Assistant healthcare provider located in PAWCATUCK, Connecticut. NPI 1790746295 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PAWCATUCK, CT
Registration Details
- NPI Number
- 1790746295
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 1, 2006 (20.327463063034 yrs)
- Last Updated
- Jul 8, 2007
- License
-
004064 (CT)
Practice Information
- Address
-
158 SOUTH BROAD STREETDYNAMIC PHYSICAL THERAPY LLCPAWCATUCK, CT, 06379Browse CT providers · Browse ZIP 06379
- Phone
- 8605990819
- Fax
- 8605990871
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PAWCATUCK, CT
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH GROSS | PT | 1104881812 |
| SARAH E BICKNELL | P.T. | 1609190966 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.