Individual
MICHAELA LACHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
95 CAMPBELL AVE, WEST HAVEN, CT 06516
(203) 932-5711
Mailing address
50 STUART AVE APT 9, NORWALK, CT 06850-3570
(607) 267-3812
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012315
CT
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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