Provider Demographics
NPI:1104945732
Name:ESPOSITO, RITA R (MS PT)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:R
Last Name:ESPOSITO
Suffix:
Gender:F
Credentials:MS PT
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Mailing Address - Street 1:60 CONNOLLY PKWY
Mailing Address - Street 2:BLDG. 17
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06514-2593
Mailing Address - Country:US
Mailing Address - Phone:203-230-2815
Mailing Address - Fax:203-230-8502
Practice Address - Street 1:60 CONNOLLY PKWY
Practice Address - Street 2:BLDG. 17
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06514-2593
Practice Address - Country:US
Practice Address - Phone:203-230-2815
Practice Address - Fax:203-230-8502
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT0001472225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT0001472OtherLICENSE #