Individual
NANCY C POLISTENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
226 WHITE ST, DANBURY, CT 06810-6814
(203) 797-1500
(203) 791-0495
Mailing address
226 WHITE ST, DANBURY, CT 06810-6814
(203) 797-1500
(203) 791-0495
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002519
CT
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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