Individual
MS. LISA DIMICHELE-STOKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
55 MERIDEN AVE, SOUTHINGTON, CT 06489-3238
(860) 276-5305
(860) 276-5136
Mailing address
15 MASSIRIO DR, BERLIN, CT 06037-2300
(860) 829-1300
(860) 829-1388
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005228
CT
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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