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Individual

MRS. ELAINE HRISTON-ZECH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
45 GROVE ST, NEW CANAAN, CT 06840-5330
(203) 966-5752
(203) 966-7507
Mailing address
45 GROVE ST, NEW CANAAN, CT 06840-5330
(203) 966-5752

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CT02654
CT
225100000X
Physical Therapist
NY2561352
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080002635CT01
ANTHEM BLUE CROSS BLUE SH
CT
01
ANC1555
OXFORD
CT
Enumeration date
07/22/2005
Last updated
12/30/2011
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