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Organization
ANGELFISH THERAPY
Active
Organization
ANGELFISH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AILENE DEBRA TISSER PT (CO-OWNER)
(203) 545-0024
Entity
Organization
Contact information
Practice address
168 INTERVALE RD, STAMFORD, CT 06905-1311
(203) 545-0024
(203) 968-1484
Mailing address
168 INTERVALE RD, STAMFORD, CT 06905-1311
(203) 545-0024
(203) 968-1484
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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