Individual
DORIAN ROSE NISSENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
7 BLACK BIRCH RD, WESTPORT, CT 06880-2603
(917) 597-7031
(203) 293-4173
Mailing address
7 BLACK BIRCH ROAD, WESTPORT, CT 06880
(917) 597-7031
(203) 293-4173
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
014800
NY
Other
Enumeration date
03/09/2007
Last updated
12/15/2015
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