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Individual

MS. LOUISE MARIE ANSELMO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S,P.T.

Contact information

Practice address
2001 W MAIN ST, SUITE 132, STAMFORD, CT 06902-4501
(203) 967-3200
(203) 967-3800
Mailing address
2001 W MAIN ST, SUITE 132, STAMFORD, CT 06902-4501
(203) 967-3200
(203) 967-3800

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004701
CT

Other

Enumeration date
05/05/2008
Last updated
05/05/2008
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