NPI 1194385682

Diego Ernesto Aguillon, PTA

Practitioner Physical Therapy Assistant Bridgeport, CT

Practice location

Address: 4200 Park Ave, Bridgeport, CT 06604-1049
Phone: (203) 365-6443

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1408 (CT)

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Registry record

NPI: 1194385682
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jun 2019
Record last updated: 17 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.