Individual
STEPHANIE FORESI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 N MAIN ST, 2ND FL, SOUTHINGTON, CT 06489-2025
(860) 690-9796
Mailing address
550 N MAIN ST, 2ND FL, SOUTHINGTON, CT 06489-2025
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005853
CT
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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