| Mary Sue Agostini, PT | |
|
158 South Broad Street, Dynamic Physical Therapy Llc, Pawcatuck, CT 06379 | |
| (860) 599-0819 | |
| (860) 599-0871 |
| Full Name | Mary Sue Agostini |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 158 South Broad Street, Pawcatuck, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790746295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 004064 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Sue Agostini, PT 158 South Broad Street, Dynamic Physical Therapy Llc, Pawcatuck, CT 06379 Ph: (860) 599-0819 | Mary Sue Agostini, PT 158 South Broad Street, Dynamic Physical Therapy Llc, Pawcatuck, CT 06379 Ph: (860) 599-0819 |
Elizabeth Gross, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 158 South Broad Street, Pawcatuck, CT 06379 Phone: 860-599-0819 Fax: 860-599-0871 | |
Sarah E Bicknell, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 37 S Broad St Ste 12, Pawcatuck, CT 06379 Phone: 860-495-1919 Fax: 860-495-0130 |