Provider Demographics
NPI:1083296859
Name:CORSO, GIANNA (PT, DPT, CSCS)
Entity Type:Individual
Prefix:
First Name:GIANNA
Middle Name:
Last Name:CORSO
Suffix:
Gender:F
Credentials:PT, DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 POST RD
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-5940
Mailing Address - Country:US
Mailing Address - Phone:203-309-5303
Mailing Address - Fax:203-209-5303
Practice Address - Street 1:1540 POST RD
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-5940
Practice Address - Country:US
Practice Address - Phone:203-309-5303
Practice Address - Fax:203-209-5306
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-22
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0135892251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic