Individual
CASEY NICOLE DIZINNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1090 MERIDEN WATERBURY TPKE, PLANTSVILLE, CT 06479-2055
(203) 272-8490
(203) 272-8474
Mailing address
72 PINE ST UNIT A, BRISTOL, CT 06010-6960
(860) 585-5800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14121
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216213
OPTUM HEALTH PHYSICAL HEALTH
—
Enumeration date
11/12/2018
Last updated
03/18/2025
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