NPI 1740723402

Stacy Todisco

Practitioner Physical Therapy Assistant Trumbull, CT

Practice location

Address: 6448 Main St, Trumbull, CT 06611-2075
Phone: (203) 268-6204

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 001547 (CT)

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Registry record

NPI: 1740723402
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Nov 2016
Record last updated: 29 Nov 2016

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.