Individual
MISS MARISHA DHIREN TAMAKUWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1183 NEW HAVEN RD, HILLSMAN SUITE, NAUGATUCK, CT 06770-5033
(203) 729-2344
(203) 729-2355
Mailing address
680 MIX AVE, APARTMENT 5J, HAMDEN, CT 06514-2383
(203) 535-7650
(203) 729-2355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008048
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008048
LICENSE
CT
Enumeration date
02/07/2007
Last updated
07/08/2007
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