Individual
LISA ZAVISTOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
16 WINDSOR AVE, PLAINFIELD, CT 06374-1036
(860) 564-4081
Mailing address
49 BROAD ST, NORWICH, CT 06360-3630
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002488
CT
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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