Mary Sue Agostini, PT

NPI #1790746295 in Pawcatuck, Connecticut

Provider Information

NPI Number: 1790746295
Entity Type: Individual
Name: Mary Sue Agostini, PT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Apr 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 158 SOUTH BROAD STREET
Address 2: DYNAMIC PHYSICAL THERAPY LLC
City: Pawcatuck
State: Connecticut
ZIP Code: 06379
Phone: (860) 599-0819

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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