Individual
LAUREN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1931 BLACK ROCK TPKE, ATTN: CREDENTIALING, FAIRFIELD, CT 06825-3506
(203) 384-8681
(203) 384-0722
Mailing address
1931 BLACK ROCK TPKE, ATTN: CREDENTIALING, FAIRFIELD, CT 06825-3506
(203) 332-4363
(203) 330-6761
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010055
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010055
CONNECTICUT LICENSE
CT
Enumeration date
04/09/2014
Last updated
12/20/2017
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