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LINDA M BRUSTOLON LPTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1174790307

Individual Registrant:
 LINDA M BRUSTOLON LPTA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
475 HIGH ST  MYSTIC, CT 06355-1707 US
Tel: 860-536-6070  Fax: 860-536-9480

Contact information for business:
475 HIGH ST  MYSTIC, CT 06355-1707 US
Tel: 860-536-6070  Fax: 860-536-9480

Registration Information:
NPI: 1174790307
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
CT000069

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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