Individual
LUCAS ROGER SILVA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
45 GROVE ST, NEW CANAAN, CT 06840-5330
(203) 966-5752
(203) 966-7507
Mailing address
180 W NORWALK RD, NORWALK, CT 06850-4311
(203) 299-1207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CT07011
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080007011CT04
ANTHEM BC/BS
CT
01
—
ANC1555
OXFORD
CT
Enumeration date
08/17/2005
Last updated
07/08/2007
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