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MR. MATTHEW CALENDRILLO DPT, BOCO

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1043475098

Individual Registrant:
MR. MATTHEW  CALENDRILLO DPT, BOCO
Gender: M
Not Sole Proprietor

Location and contact information for practice:
68 BRIDGE STREET SUITE 111 SUFFIELD, CT 06078-3107 US
Tel: 860-254-5190  Fax: 860-254-5190

Contact information for business:
68 BRIDGE ST SUITE 111 SUFFIELD, CT 06078-3107 US
Tel: 860-254-5190  Fax: 860-254-5190

Registration Information:
NPI: 1043475098
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
MA24148
Y174400000XOther Service Providers
Specialist
CT007740

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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