Linda M Brustolon, LPTA
Physical Therapy Assistant in Mystic, Connecticut
1174790307- Practice location
- 475 High St, Mystic, CT 06355-1707
- Phone
- 860-536-6070
- Fax
- 860-536-9480
- Last updated
- May 16, 2008
Linda M Brustolon is a Physical Therapy Assistant based in Mystic, CT. Linda M Brustolon practices in Mystic, CT and has the professional credentials of LPTA. The NPI Number for Linda M Brustolon is 1174790307 and holds a License No. 000069 (CT). The current practice location address for Linda M Brustolon is 475 High St, Mystic, CT 06355-1707 and can be reached out via phone at 860-536-6070 and via fax at 860-536-9480.
Provider Profile Details
- NPI Number
- 1174790307
- Provider Name
- Linda M Brustolon
- Credential
- LPTA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 475 High St, Mystic, CT 06355-1707
- Phone Number
- 860-536-6070
- Fax Number
- 860-536-9480
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 16, 2008
- Last Update Date
- May 16, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 475 High St
Mystic, CT 06355-1707 - City
- Mystic
- State
- Connecticut
- Zip
- 06355-1707
- Phone Number
- 860-536-6070
- Fax Number
- 860-536-9480
Provider Business Mailing Address Details
- Address
- 475 High St
Mystic, CT 06355-1707 - City
- Mystic
- State
- CT
- Zip
- 06355-1707
- Phone Number
- 860-536-6070
- Fax Number
- 860-536-9480
License Information
- License Number
- 000069
- License State
- CT
- Taxonomy
- Physical Therapy Assistant · 225200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Linda M Brustolon, LPTA?
The NPI number of Linda M Brustolon, LPTA is 1174790307. It was assigned on May 16, 2008 and is currently active in the NPPES registry.
What is the specialty of Linda M Brustolon, LPTA?
Linda M Brustolon, LPTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in CT under license number 000069.
Where does Linda M Brustolon, LPTA practice?
The practice location is 475 High St, Mystic, CT 06355-1707. The office can be reached at 860-536-6070 (phone) or 860-536-9480 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174790307 directly on the NPPES registry website.