Mary Sue Agostini, PT is a
Physical Therapist based in Pawcatuck, Connecticut. Mary Sue Agostini is licensed to practice in Connecticut (license number 004064) and her current practice location is
158 South Broad Street, Dynamic Physical Therapy Llc, Pawcatuck, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 599-0819.
NPI number for Mary Sue Agostini is 1790746295 and her current mailing address is 158 South Broad Street, Dynamic Physical Therapy Llc, Pawcatuck, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790746295.
Healthcare Provider's Profile
Full Name | Mary Sue Agostini |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 158 South Broad Street, Pawcatuck, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790746295
- Provider Enumeration Date: 04/01/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mary Sue Agostini such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790746295 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 004064 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Sue Agostini is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary Sue Agostini, PT 158 South Broad Street, Dynamic Physical Therapy Llc, Pawcatuck, CT 06379 Ph: (860) 599-0819 | Mary Sue Agostini, PT 158 South Broad Street, Dynamic Physical Therapy Llc, Pawcatuck, CT 06379 Ph: (860) 599-0819 |
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