Individual
JOSE ISMEL COLLADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, LMT
Contact information
Practice address
250 WESTPORT AVE, NORWALK, CT 06851-4158
(917) 515-0288
Mailing address
65 WEDGEWOOD PL, BRIDGEPORT, CT 06606-1927
(917) 515-0288
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14775
CT
225700000X
Massage Therapist
007864
CT
Other
Enumeration date
05/24/2017
Last updated
02/18/2025
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