Individual
GAILE V IVASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
698 WEST AVE, NORWALK, CT 06850-3302
(203) 852-9903
Mailing address
37 PATMAR DR, MONROE, CT 06468-1514
(203) 556-3204
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1993
CT
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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