Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 3221 | CT |
N | 2251E1200X | Ergonomics | 3221 | CT |
N | 225XE1200X | Ergonomics | 3221 | CT |
N | 2251G0304X | Physical Therapist - Geriatrics | 3221 | CT |
N | 2251H1200X | Hand | 3221 | CT |
N | 2251S0007X | Physical Therapist - Sports | 3221 | CT |
N | 2251X0800X | Physical Therapist - Orthopedic | 3221 | CT |
NPI | 1497822639 |
---|---|
Provider Name | Mr. Christopher Dipasquale |
First Address | Colchester, CT 06415-1274 |
Second Address | Colchester, CT 06415-1274 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 09/07/2007 |