Individual
MISS SHANNON G SCAROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
145 HAZARD AVE, SUITE B, ENFIELD, CT 06082-4521
(860) 265-2571
(860) 265-2574
Mailing address
145 HAZARD AVE, SUITE B, ENFIELD, CT 06082-4521
(860) 265-2571
(260) 265-2574
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
008876
CT
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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