Individual
MARILENI BRISITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., DPT
Contact information
Practice address
47 N MAIN ST, WEST HARTFORD, CT 06107-1926
(860) 409-4595
Mailing address
5958 ROUTE 25A, WADING RIVER, NY 11792-2001
(631) 929-8200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
041342-1
NY
225100000X
Physical Therapist
Primary
—
CT
Other
Enumeration date
03/06/2017
Last updated
06/21/2019
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