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Contact Information

MARY SUE AGOSTINI, PT
158 SOUTH BROAD STREET
DYNAMIC PHYSICAL THERAPY LLC
PAWCATUCK, CT06379
 Phone: 860-599-0819
 Fax: 860-599-0871
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MARY SUE AGOSTINI · (Female)

NPI # 1790746295
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 04/01/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 004064
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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