Individual
MAEGHAN RISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 TOMPKINS ST, WATERBURY, CT 06708-1459
(203) 419-0381
Mailing address
22 TOMPKINS ST, WATERBURY, CT 06708-1459
(203) 419-0381
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12005
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OO4190328
—
CT
Enumeration date
09/04/2018
Last updated
09/04/2018
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