NPI 1609240357

Taissa Decyk, PTA

Practitioner Physical Therapy Assistant Bristol, CT

Practice location

Address: 23 Fair St, Bristol, CT 06010-5531
Phone: (860) 589-2923

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1455 (CT)

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Registry record

NPI: 1609240357
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Nov 2015
Record last updated: 18 Nov 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.