Individual
DAYLENE DECRISANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ORT/L
Contact information
Practice address
29 FEDERAL RD, DANBURY, CT 06810-5010
(203) 874-5437
Mailing address
29 FEDERAL RD, DANBURY, CT 06810-5010
(203) 874-5437
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6065
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CT
Enumeration date
10/19/2022
Last updated
10/19/2022
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