Provider Demographics
NPI:1477734887
Name:BESSON, EMILY KATHLEEN (DPT)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:KATHLEEN
Last Name:BESSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3530 POST RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06890-1169
Mailing Address - Country:US
Mailing Address - Phone:203-975-1545
Mailing Address - Fax:203-975-1544
Practice Address - Street 1:1250 SUMMER ST
Practice Address - Street 2:SUITE 204
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-5358
Practice Address - Country:US
Practice Address - Phone:203-975-1545
Practice Address - Fax:203-975-1544
Is Sole Proprietor?:No
Enumeration Date:2007-11-14
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT008185225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist