Individual
MITCHELL TEODOSIO SASIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 RICHARDS AVE, NORWALK, CT 06854-1611
(203) 523-0510
Mailing address
7345 WOODLAND DR STE C, INDIANAPOLIS, IN 46278-1737
(317) 388-0800
(317) 388-0805
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
040907
NY
225100000X
Physical Therapist
Primary
11702
CT
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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