Healthcare Provider Details

I. General information

NPI: 1083269393
Provider Name (Legal Business Name): GLORIA CHRISTIANO PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2019
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 WESTPORT AVE
NORWALK CT
06851-4424
US

IV. Provider business mailing address

9 W BROAD ST STE 100
STAMFORD CT
06902-3764
US

V. Phone/Fax

Practice location:
  • Phone: 203-557-9165
  • Fax: 203-625-8290
Mailing address:
  • Phone: 203-553-7626
  • Fax: 203-625-8290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number12332
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: