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Stacy Todisco Valid NPI

Individual provider · Physical Therapy Assistant · Trumbull, CT

NPI
1740723402
Type
Individual (Type 1)
Primary specialty
Physical Therapy Assistant
Specialty group
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy code
225200000X
License number
001547 (CT)
Sex
Female
Sole proprietor
No
Enumerated
2016-11-29
Last updated
2016-11-29
Practice location
6448 Main St
Trumbull, CT 06611-2075
(203) 268-6204

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Stacy Todisco — NPI 1740723402