Linda M Brustolon in Mystic - Physical Therapy Assistant
Linda M Brustolon - NPI 1174790307
Linda M Brustolon is a Physical Therapy Assistant in Mystic, Connecticut. Linda M Brustolon practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Linda M Brustolon is 1174790307. The last update date is 2008-05-16.
Linda M Brustolon's current location address is 475 High St, Mystic, Connecticut. You can contact this provider via phone number 8605366070 and fax number 8605369480. The mailing address for Linda M Brustolon is 475 High St, Mystic, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Linda M Brustolon |
|---|---|
| Address | 475 High St, Mystic, Connecticut |
| Phone Number | 8605366070 |
| Fax Number | 8605369480 |
| Sole Proprietor | N |
| Credentials | LPTA |
NPI Number Detail
| NPI Number | 1174790307 |
|---|---|
| Provider Enumeration Date | 2008-05-16 |
| Last Updated Date | 2008-05-16 |
Provider Mailing Address Detail
| Address | 475 High St |
|---|---|
| City | Mystic |
| State | Connecticut (CT) |
| Post Code | 63551707 |
| Phone Number | 8605366070 |
| Fax Number | 8605369480 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 69 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Post Comment/ Review Below
What is the Linda M Brustolon's unique identification number?
The Linda M Brustolon has been assigned the NPI (National Provider Identifier) Number 1174790307 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Linda M Brustolon?
The Linda M Brustolon is situated at 475 High St, in the city of Mystic, state of CT, with the zip code 63551707.
What is Linda M Brustolon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Linda M Brustolon's area of specialization is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this field of practice is 225200000X.
On what date did the Linda M Brustolon receive the assignment of its 1174790307 from the Centers for Medicare & Medicaid Services?
The Linda M Brustolon was issued its 1174790307 by the Centers for Medicare & Medicaid Services on 2008-05-16.
As of what date were the details pertaining to Linda M Brustolon last refreshed?
The information related to the Linda M Brustolon, including its address, specialty, and other relevant details, was last updated on 2008-05-16.
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