Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 6061 | CT |
NPI | 1336462365 |
---|---|
Provider Name | Mrs. Paula Jean Salerno |
First Address | East Haven, CT 06512-1555 |
Second Address | East Haven, CT 06512-1555 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2010 |
Last Update Date | 04/03/2010 |