Individual
IDA MARIE UY PICZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
18 ALEXANDER ST, GREENWICH, CT 06830-6204
(203) 542-5443
(203) 542-5443
Mailing address
18 ALEXANDER ST, GREENWICH, CT 06830-6204
(203) 542-5443
(203) 542-5443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
018333
NY
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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