Provider Demographics
NPI:1497069033
Name:FERRUCCI, ANGELA L (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:L
Last Name:FERRUCCI
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:753 BOSTON POST RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437
Mailing Address - Country:US
Mailing Address - Phone:203-458-6268
Mailing Address - Fax:203-458-9230
Practice Address - Street 1:753 BOSTON POST RD
Practice Address - Street 2:SUITE 101
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437
Practice Address - Country:US
Practice Address - Phone:203-458-6268
Practice Address - Fax:203-458-9230
Is Sole Proprietor?:No
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT004582225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist