Individual
JAMES LAISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
2900 MAIN ST STE 1D, STRATFORD, CT 06614-4946
(203) 378-0092
(203) 375-4540
Mailing address
1931 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3506
(203) 384-8681
(203) 384-0722
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11915
CT
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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