NPI 1104207380

Lisa O'Brien, PTA

Practitioner Physical Therapy Assistant Southington, CT

Practice location

Address: 45 Meriden Ave, Southington, CT 06489-3214
Phone: (860) 378-1234
Mailing address: 32 Sunnybrook Dr, Manchester, CT 06040-6622

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 001560 (CT)

Other Physical Therapy Assistant providers in Connecticut →

Registry record

NPI: 1104207380
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jun 2015
Record last updated: 14 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.