Provider Demographics
NPI:1780455345
Name:VOSSLER, LINDA
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:VOSSLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 OLD QUARRY RD
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-4151
Mailing Address - Country:US
Mailing Address - Phone:203-403-0990
Mailing Address - Fax:
Practice Address - Street 1:55 OLD QUARRY RD
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-4151
Practice Address - Country:US
Practice Address - Phone:203-403-0990
Practice Address - Fax:203-894-6881
Is Sole Proprietor?:No
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001999225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant