Jeimy Bueno Canosa, P.T. Valid NPI
Individual provider · Physical Therapist · Bridgeport, CT
- NPI
- 1477838951
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 008961 (CT)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-10-17
- Last updated
- 2011-11-04
Practice location
3180 Main St, Suite G2
Bridgeport, CT 06606-4237
(203) 520-2642