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1174079081
KRISTINA BACCO
STAMFORD, CT
NPI
1174079081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 010821)
Enumeration Date
2016-08-31
Last Update Date
2016-08-31
Business Address
-- KRISTINA BACCO PT
2015 W MAIN ST
STAMFORD, CT 06902-4536
Phone number: 203-863-2880
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Mailing Address
-- KRISTINA BACCO PT
9 PURDY RD
NORWALK, CT 06850-1409
Phone number: 203-943-0102
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