Individual
LISA A DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1157 HIGHLAND AVE, SUITE 101, CHESHIRE, CT 06410-1600
(187) 727-1928
Mailing address
3 ROSANNE ST, ENFIELD, CT 06082-5930
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003810
CT
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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