Debra Adamo

Individual provider Active NPI Physical Therapist · Waterbury, CT

NPI 1063565356 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1063565356
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
001725 (CT)
Practice address
22 Tompkins St
Waterbury, CT 06708-1417
Phone
(203) 419-0389
Fax
(203) 419-0389
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 001725 CT Yes

Addresses

Primary practice location

22 Tompkins St
Waterbury, CT 06708-1417

Mailing address

354 Charter Oak Rd
Southbury, CT 06488-1270
Phone (203) 264-2588

Other providers in Waterbury, CT

All providers in Waterbury, CT · Physical Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.