Individual
MR. ZIMRI G TUPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
305 CHURCH ST STE 16, NAUGATUCK, CT 06770-2836
(203) 723-4010
Mailing address
51 W PINE DR, SOUTHINGTON, CT 06489-1053
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004190328
—
CT
Enumeration date
06/11/2009
Last updated
06/11/2009
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