RENEE ADELE BLAISE

NORWALK, CT
NPI1992005912
Former NameRENEE ADELE BELCHER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NY  006887)
Additional Taxonomies225200000X Physical Therapy Assistant
(Licence: CT  1123)
225200000X Physical Therapy Assistant
(Licence: MS  4636)
Enumeration Date2010-10-25
Last Update Date2010-10-25
Business Address
-- RENEE ADELE BLAISE P.T.A.
93 RICHARDS AVE APT 110
NORWALK, CT 06854-1679
Phone number: 631-671-9183
Mailing Address
-- RENEE ADELE BLAISE P.T.A.
93 RICHARDS AVE APT 110
NORWALK, CT 06854-1679
Phone number: 631-671-9183