Jake Christian Sasis
Physical Therapist in Redding, CT. Individual provider (NPI-1).
NPI number1417455304
StatusActive
Last updated in NPPESMar 14, 2023
Details
- NPI
- 1417455304
- Entity type
- Individual (NPI-1)
- Name
- Jake Christian Sasis
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2018
- Certification date
- Mar 14, 2023
- Last updated
- Mar 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
80 Portland AveRedding, CT 06896-3113
Phone 906-231-0022
Mailing address
80 Portland AveRedding, CT 06896-3113
Phone 906-231-0022
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