Individual
MARIE G NIERENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
202 STATE ST, NORTH HAVEN, CT 06473-2207
(203) 239-4274
(203) 239-4290
Mailing address
202 STATE ST, NORTH HAVEN, CT 06473-2207
(203) 239-4274
(203) 239-4290
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006402
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004263878
—
CT
Enumeration date
08/22/2006
Last updated
10/12/2012
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