# ANGELFISH THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790089597
- **Authorized official:** MRS. AILENE DEBRA TISSER PT (CO-OWNER)
- **Authorized official phone:** (203) 545-0024

## Contact information

- **Practice address:** 168 INTERVALE RD, STAMFORD, CT 06905-1311
- **Practice address phone:** (203) 545-0024
- **Practice address fax:** (203) 968-1484
- **Mailing address:** 168 INTERVALE RD, STAMFORD, CT 06905-1311
- **Mailing address phone:** (203) 545-0024
- **Mailing address fax:** (203) 968-1484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 01/07/2011
- **Last updated:** 01/07/2011