Individual
ELIZABETH ANN FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8 RESEARCH PKWY, WALLINGFORD, CT 06492-1930
(203) 294-1998
(203) 294-1189
Mailing address
8 RESEARCH PKWY, WALLINGFORD, CT 06492-1930
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008533
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6404254
UNITED HEALTH CARE
CT
01
—
712712
CONNETICARE
CT
Enumeration date
04/29/2010
Last updated
04/29/2010
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