Individual
MRS. CHRISTINA DAMARIS LACOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
165 HARTFORD PIKE, DAYVILLE, CT 06241-0425
(860) 779-0150
(860) 774-2371
Mailing address
2B LEE RD, LISBON, CT 06351-3042
(860) 376-2564
(860) 376-4812
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007010
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004217437
—
CT
01
—
080007010CT01
BCBS
CT
Enumeration date
08/29/2006
Last updated
04/25/2024
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