Individual
LISA ILLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
396 DANBURY RD, WILTON, CT 06897-2024
(203) 762-5623
(203) 762-9344
Mailing address
396 DANBURY RD, WILTON, CT 06897-2024
(203) 762-5623
(203) 762-9344
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009133
CT
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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