Individual
ALYSSA INGMANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
999 SUMMER ST STE 104, STAMFORD, CT 06905-5513
(203) 504-2408
Mailing address
140 SUN RIDGE LN, STRATFORD, CT 06614-8909
(203) 615-2527
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12751
CT
Other
Enumeration date
09/07/2020
Last updated
09/07/2020
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