Individual
CLARISSA ANN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8 S COMMONS RD, WATERBURY, CT 06704-1035
(203) 759-1229
Mailing address
8 S COMMONS RD, WATERBURY, CT 06704-1035
(203) 759-1229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011864
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011864
—
CT
Enumeration date
06/18/2018
Last updated
07/21/2022
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