Provider Demographics
NPI:1144752460
Name:HAUSWIRTH-VARIS, CAITLYN (DPT)
Entity type:Individual
Prefix:
First Name:CAITLYN
Middle Name:
Last Name:HAUSWIRTH-VARIS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:CAITLYN
Other - Middle Name:
Other - Last Name:HAUSWIRTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1300 POST RD STE 210
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-6038
Mailing Address - Country:US
Mailing Address - Phone:203-557-9111
Mailing Address - Fax:
Practice Address - Street 1:1300 POST RD STE 210
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-6038
Practice Address - Country:US
Practice Address - Phone:203-557-9111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-28
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039118225100000X
CT011323225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist