Individual
MS. LISA MICHELLE GUILBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
39 KENNEDY DRIVE, PUTNAM, CT 06260
(860) 963-2133
Mailing address
62 ELVIRA HEIGHTS, PUTNAM, CT 06260
(860) 928-9371
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007489
CT
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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