Individual
YELENA WASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 MERIDEN AVE, SOUTHINGTON, CT 06489-3214
(860) 621-9559
Mailing address
43 SHEEP HILL DR, WEST HARTFORD, CT 06117-1635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008644
CT
225100000X
Physical Therapist
19111
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004212362
—
CT
Enumeration date
10/13/2009
Last updated
09/16/2019
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