Individual
COURTNEY NISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3 FEDERAL RD STE 100, BROOKFIELD, CT 06804-2505
(203) 456-1010
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14241
CT
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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