Doctor Name: | SAMARA M DIMATTIA |
NPI Number: | 1922027390 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,PT |
License Number: | 6532 |
Business Practice Address: | 1275 Summer St Suite 307 Stamford, CT - 069055359 |
Business Phone Number: | 2035691274 |
Business Fax Number: | 2035691274 |
Mailing Address: | 1047 Sunset Rd, STAMFORD |
State: | CT |
Postal Code: | 069032429 |
Phone Number: | 2035691274 |
Fax Number: | 2036748990 |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 09/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 6532 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |