Individual
MARISSA SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
215 SLATER RD, TOLLAND, CT 06084-2216
(860) 205-1649
Mailing address
215 SLATER RD, TOLLAND, CT 06084-2216
(860) 205-1649
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305210508
VA
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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