AJAUNIE DEAGO SILPOT

NORWALK, CT
NPI1902141120
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CT  1291)
Enumeration Date2012-11-28
Last Update Date2012-11-28
Business Address
-- AJAUNIE DEAGO SILPOT PTA
650 WEST AVE INNOVATIVE HEALTH AND REHABILITATION
NORWALK, CT 06850-4020
Phone number: 203-852-9903
Mailing Address
-- AJAUNIE DEAGO SILPOT PTA
50 FOREST ST APT 1107
STAMFORD, CT 06901-1871
Phone number: 203-550-2384