Individual
MRS. TIRZAH GRACE ANTOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
85 BARNES RD, SUITE 109, WALLINGFORD, CT 06492-1832
(203) 697-1067
(203) 284-0492
Mailing address
85 BARNES RD, SUITE 109, WALLINGFORD, CT 06492-1832
(203) 697-1067
(203) 284-0492
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
036636
NY
225100000X
Physical Therapist
Primary
10703
CT
Other
Enumeration date
08/14/2013
Last updated
04/06/2016
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