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Organization

SWIM WHISPERERS SWIM SCHOOL NEW ENGLAND

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AILENE DEBRA TISSER MA PT (COOWNER)
(203) 969-6431
Entity
Organization

Contact information

Practice address
1177 HIGH RIDGE RD STE 116, STAMFORD, CT 06905-1221
(203) 545-0024
Mailing address
1177 HIGH RIDGE RD STE 116, STAMFORD, CT 06905-1221
(203) 545-0024

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
10221
MA
174400000X
Specialist
10846
MA
174400000X
Specialist
Primary
11053
MA
174400000X
Specialist
9353
MA
225X00000X
Occupational Therapist
10221
MA

Other

Enumeration date
07/01/2015
Last updated
07/01/2015
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