Provider Demographics
NPI:1366459992
Name:SANTORO, DENISE MARIE (PT)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:MARIE
Last Name:SANTORO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:DENISE
Other - Middle Name:MARIE
Other - Last Name:DROZDICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:348 HUCKLEBERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001-3100
Mailing Address - Country:US
Mailing Address - Phone:860-830-9877
Mailing Address - Fax:860-404-1811
Practice Address - Street 1:348 HUCKLEBERRY HILL RD
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001-3100
Practice Address - Country:US
Practice Address - Phone:860-830-9877
Practice Address - Fax:860-404-1811
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT005229225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist