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Individual

MICHELLE GAYE LUSSIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T

Contact information

Practice address
2B LEE RD, LISBON, CT 06351-3042
(860) 376-2564
Mailing address
188 RIVER RD, PRESTON, CT 06365-8035
(860) 334-1736

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004353
CT
225100000X
Physical Therapist
0909
RI

Other

Enumeration date
11/06/2013
Last updated
11/06/2013
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