Individual
LISA MASTRIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 DOUBLE BEACH RD, BRANFORD, CT 06405-4909
(203) 315-7638
Mailing address
366 SEA HILL RD, NORTH BRANFORD, CT 06471-1412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003669
CT
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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