Provider Demographics
NPI:1801140371
Name:MUGGEO, CHRISTINA M (DPT, CERT-DN)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:MUGGEO
Suffix:
Gender:F
Credentials:DPT, CERT-DN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:60 OLD NEW MILFORD RD STE 3A
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-2430
Mailing Address - Country:US
Mailing Address - Phone:203-775-6205
Mailing Address - Fax:203-775-2373
Practice Address - Street 1:60 OLD NEW MILFORD RD STE 3A
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804
Practice Address - Country:US
Practice Address - Phone:203-775-6205
Practice Address - Fax:203-775-2373
Is Sole Proprietor?:No
Enumeration Date:2012-11-05
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT009443225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist