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GAILE V IVASKA PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1376107870
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
698 WEST AVE, NORWALK, CT, 068503302
Phone
(203) 852-9903

Specialties & Taxonomies

Physical Therapy Assistant Primary License: CT #1993

All Addresses

MAILING

37 PATMAR DR

MONROE, CT, 064681514

(203) 556-3204

LOCATION

698 WEST AVE

NORWALK, CT, 068503302

(203) 852-9903