| Doctor Name: | MRS. MARY ANN DEGRUTTOLA |
| NPI Number: | 1922129451 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPT |
| License Number: | 591 |
| Business Practice Address: | 72 Salmon Brook Dr Glastonbury, CT - 060332131 |
| Business Phone Number: | 8606334452 |
| Business Fax Number: | |
| Mailing Address: | 26 Pease Ln, P.o. Box 349 SOUTH GLASTONBURY |
| State: | CT |
| Postal Code: | 060732015 |
| Phone Number: | 8606592243 |
| Fax Number: | |
| NPI Enumeration Date: | 04/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 591 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |