Dorian Rose Nissenson
Physical Therapist - Neurology
7 Black Birch Rd
Westport
, Connecticut 06880-2603
Dorian Rose Nissenson
Physical Therapist - Neurology
7 Black Birch Rd
Westport
, Connecticut 06880-2603
(203) 293-4173
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About
Features
Specialties
- Physical Therapist - Neurology
Languages spoken
- English
Location
First Address
- Dorian Rose Nissenson
- 7 Black Birch Road
- Westport, CT
- Zip : 06880
- Fax : (203) 293-4173
- Phone : (917) 597-7031
Second Address
- Dorian Rose Nissenson
- 7 Black Birch Rd
- Westport, CT
- Zip : 06880-2603
- Fax : (203) 293-4173
- Phone : (917) 597-7031
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251N0400X | Physical Therapist - Neurology | 014800 | NY |
National Provider Identifier
| NPI | 1255462172 |
|---|---|
| Provider Name | Dorian Rose Nissenson |
| First Address | Westport, CT 06880 |
| Second Address | Westport, CT 06880-2603 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2007 |
| Last Update Date | 15/12/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.