Individual
TAISSA DECYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
23 FAIR ST, BRISTOL, CT 06010-5531
(860) 589-2923
Mailing address
23 FAIR ST, BRISTOL, CT 06010-5531
(860) 589-2923
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1455
CT
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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