Individual
EMILY ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
22 TOMPKINS ST, WATERBURY, CT 06708-1459
(203) 419-0381
(203) 419-0389
Mailing address
22 TOMPKINS ST, WATERBURY, CT 06708-1459
(203) 419-0381
(203) 419-0389
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000962
CT
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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