Individual
MR. JEFFREY DARREN LITISHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
50 HOSPITAL HILL RD, SHARON, CT 06069-2096
(860) 364-4065
(860) 364-4466
Mailing address
17 MAIN RD, GREAT BARRINGTON, MA 01230-1689
(413) 528-1343
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007493
CT
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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