Individual provider · Type 1 NPI
Matthew Calendrillo, DPT, BOCO
Specialist · Suffield, CT
NPI number
1043475098
Active
Practice location
68 Bridge Street, Suite 111
Suffield, CT 06078-3107
Fax (860) 254-5190
Mailing address
68 Bridge St, Suite 111
Suffield, CT 06078-3107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 24148 (MA) |
| Specialist Primary | 174400000X | 007740 (CT) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1043475098
Matthew Calendrillo, DPT, BOCO's National Provider Identifier is 1043475098, issued on Jul 18, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Suffield, CT. The record was last updated on Feb 6, 2020.