Provider Demographics
NPI:1144261033
Name:SCHISSLER, ARLENE C (MSPT, CHT)
Entity type:Individual
Prefix:MRS
First Name:ARLENE
Middle Name:C
Last Name:SCHISSLER
Suffix:
Gender:F
Credentials:MSPT, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 WEST MAIN STREET
Mailing Address - Street 2:CORA
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052-1315
Mailing Address - Country:US
Mailing Address - Phone:860-801-6171
Mailing Address - Fax:860-826-4762
Practice Address - Street 1:136 WEST MAIN STREET
Practice Address - Street 2:CONNECTICUT ORTHOPEDIC REHABILITATION ASSOCIATES
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-1315
Practice Address - Country:US
Practice Address - Phone:860-801-6171
Practice Address - Fax:860-826-4762
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001535225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004226975Medicaid
CT004226975Medicaid