Individual
AMY BLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1389 W MAIN ST, WATERBURY, CT 06708-3104
(203) 757-1474
(203) 757-1474
Mailing address
46 ROXBURY CT, CHESHIRE, CT 06410-1511
(203) 271-3288
(203) 271-3288
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
3890
CT
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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