Individual
NYSHAY NORTHOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 GRANDVIEW AVENUE, WATERBURY, CT 06708-2507
(203) 575-2593
Mailing address
22 TOMPKINS STREET, WATERBURY, CT 06708-1458
(203) 419-0381
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2231
CT
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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