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1720168545
DAVID J POTUCEK
FAIRFIELD, CT
NPI
1720168545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 0007569)
Enumeration Date
2006-10-16
Last Update Date
2020-03-11
Business Address
Mr. DAVID J POTUCEK MSPT, CFMT
1300 POST RD STE 210
FAIRFIELD, CT 06824-6038
Phone number: 203-557-9111
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Mailing Address
Mr. DAVID J POTUCEK MSPT, CFMT
195 GEORGETOWN RD
WESTON, CT 06883-1234
Phone number: 203-305-3503
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