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1861977118
JAMES LAISO
STRATFORD, CT
NPI
1861977118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 11915)
Enumeration Date
2018-10-02
Last Update Date
2018-10-02
Business Address
JAMES LAISO Pt, DPT, CSCS
2900 MAIN ST STE 1D
STRATFORD, CT 06614-4946
Phone number: 203-378-0092
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Mailing Address
JAMES LAISO Pt, DPT, CSCS
1931 BLACK ROCK TPKE
FAIRFIELD, CT 06825-3506
Phone number: 203-384-8681
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